Organization Active NPI

Akron-Urban Minority Alcoholism Drug Abuse Outreach Program, Inc.

  • Community/Behavioral Health Agency
  • Akron, OH
National Provider Identifier
1114056041
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6838 Issued in OH
Legal business name
AKRON-URBAN MINORITY ALCOHOLISM DRUG ABUSE OUTREACH PROGRAM, INC.
Practice address
665 West Market Street
Akron, OH 44303-1438
Phone
(330) 379-3467
Fax
(330) 379-3465
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Authorized official

Name
Mr. Donald Christian
Title
Chief Executive Officer
Phone
(330) 379-3467

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6838 OH Primary
Community/Behavioral Health Agency 251S00000X 247124

Addresses

Primary practice location

665 West Market Street
Akron, OH 44303-1438

Mailing address

665 West Market Street
Akron, OH 44303-1438
Phone (330) 379-3467

Other names 1

  • Akron-Urban Minority Alcoholism Drug Abuse Outreach Program, Inc. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250415002710 OH Part B Supplier - Clinic/Group Practice 2062953102 Receives reassigned benefits from 1 practitioner
Practice locations: Akron, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1114056041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 WEST MARKET STREET",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443031438",
            "telephone_number": "330-379-3467",
            "fax_number": "330-379-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 WEST MARKET STREET",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443031438",
            "telephone_number": "330-379-3467",
            "fax_number": "330-379-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKRON-URBAN MINORITY ALCOHOLISM DRUG ABUSE OUTREACH PROGRAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "CHRISTIAN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "330-379-3467",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "6838",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": "247124",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Akron-Urban Minority Alcoholism Drug Abuse Outreach Program, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.