Organization Active NPI

Community Action Against Addiction

  • Methadone Clinic
  • Cleveland, OH
National Provider Identifier
1083672372
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
020249850 Issued in OH
Legal business name
COMMUNITY ACTION AGAINST ADDICTION
Practice address
5209 Euclid Ave
Cleveland, OH 44103-3703
Phone
(216) 881-0765
Fax
(216) 431-2190
NPI assigned
May 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Authorized official

Name
Don Kermath
Title
RCM
Phone
(217) 621-4979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X 020249850 OH Primary

Addresses

Primary practice location

5209 Euclid Ave
Cleveland, OH 44103-3703

Mailing address

5209 Euclid Ave
Cleveland, OH 44103-3703
Phone (216) 881-0765

Other identifiers 2

IdentifierTypeStateIssuer
1853901MedicaidOH
2942641MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments
Opioid treatment program
Medicare-enrolled since Feb 5, 2020

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20131211001336 OH Part B Supplier - Clinic/Group Practice 5890922165 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Cleveland, OH
O20200420002798 OH Part B Supplier - Opioid Treatment Program (Otp) 5890922165 Practice locations: Cleveland, OH

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

5209 Euclid Ave
Cleveland, OH 44103
Phone (216) 881-0765

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1083672372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5209 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441033703",
            "telephone_number": "216-881-0765",
            "fax_number": "216-431-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5209 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441033703",
            "telephone_number": "216-881-0765",
            "fax_number": "216-431-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ACTION AGAINST ADDICTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "KERMATH",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "RCM",
        "authorized_official_telephone_number": "217-621-4979"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "OH",
            "license": "020249850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1853901",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2942641",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.