NPIMap

Organization Active NPI

Youngstown Committee on Alcoholism Inc

Doing business as Neil Kennedy Recovery Centers

  • Substance Abuse Rehabilitation Facility
  • Youngstown, OH
National Provider Identifier
1033111406
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
YOUNGSTOWN COMMITTEE ON ALCOHOLISM INC
Doing business as
Neil Kennedy Recovery Centers
Practice address
2151 Rush Blvd
Youngstown, OH 44507-1535
Phone
(330) 744-1181
Fax
(330) 740-2849
NPI assigned
Aug 15, 2005
Organization subpart
Yes
Parent organization
YOUNGSTOWN COMMITTEE ON ALCOHOLISMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. James Troup
Title
President/Ceo
Phone
(412) 604-8900

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 01365 OH
Substance Abuse Rehabilitation Facility 324500000X 01365 OH
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

2151 Rush Blvd
Youngstown, OH 44507-1535

Mailing address

311 Rouser Rd
Moon Township, PA 15108-6801
Phone (330) 744-1181

Other identifiers 2

IdentifierTypeStateIssuer
2877507MedicaidOH
01-7688OtherOHFACILITY LICENSE

Other names 1

  • Neil Kennedy Recovery Centers Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Youngstown Committee on Alcoholism Inc5 organizations share this tax ID, including this one
Part of
Youngstown Committee on Alcoholism Inc

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1033111406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 ROUSER RD",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151086801",
            "telephone_number": "330-744-1181",
            "fax_number": "330-740-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 RUSH BLVD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445071535",
            "telephone_number": "330-744-1181",
            "fax_number": "330-740-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNGSTOWN COMMITTEE ON ALCOHOLISM INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YOUNGSTOWN COMMITTEE ON ALCOHOLISM",
        "enumeration_date": "2005-08-15",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "TROUP",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "412-604-8900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "OH",
            "license": "01365",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "OH",
            "license": "01365",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2877507",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY LICENSE",
            "identifier": "01-7688",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neil Kennedy Recovery Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Neil Kennedy Recovery Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.