Addiction Campuses of Ohio LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

201708802010 Issued in OH

Legal business name

ADDICTION CAMPUSES OF OHIO LLC

Practice address

2650 Lodge Rd SW
Sherrodsville, OH 44675-9718

Phone

(615) 921-4444

NPI assigned

Apr 18, 2017

Organization subpart

No

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

Authorized official

Name

Leigh Ann Thompson

Title

Senior Director

Phone

(615) 921-4447

Specialties & licenses 2

Addresses

Other names 1

• Vertava Health of Ohio - Residential Treatment Center Doing business as

Practitioners 1

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

• Jennifer Rummell, APRN NP-C

  • Nurse Practitioner
  • New Philadelphia, OH
  • NPI 1710655063

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638835200000",
    "number": "1174057004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 REIDHURST AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031618",
            "telephone_number": "615-921-4447",
            "fax_number": "615-921-5918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 LODGE RD SW",
            "city": "SHERRODSVILLE",
            "state": "OH",
            "postal_code": "446759718",
            "telephone_number": "615-921-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDICTION CAMPUSES OF OHIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SENIOR DIRECTOR",
        "authorized_official_telephone_number": "615-921-4447"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "OH",
            "license": "201708802010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vertava Health of Ohio - Residential Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Addiction Campuses Professional Services of Ohio, LLC
• Kim Marie Class, RN
• Alayna Cooper
• Malaina Jane Fondriest
• Christina Geiser, RN

• Substance Abuse Rehabilitation Facility in Sherrodsville, OH
• Providers in Sherrodsville, OH by specialty
• Substance Abuse Rehabilitation Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.