NPIMap

Organization Active NPI

Access Ohio, LLC

Doing business as Access Ohio

  • Substance Abuse Rehabilitation Facility
  • Dayton, OH
National Provider Identifier
1194179150
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
13908 Issued in OH
Legal business name
ACCESS OHIO, LLC
Doing business as
Access Ohio
Practice address
2611 Wayne Ave BLDG 64
Dayton, OH 45420-1833
Phone
(614) 256-7811
NPI assigned
Apr 15, 2016
Last updated
Jul 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Authorized official

Name
Dr. John JohnsonNPI 1720154131
Title
Ceo
Phone
(937) 228-0579

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 13909 OH
Substance Abuse Rehabilitation Facility 324500000X 13908 OH Primary

Addresses

Primary practice location

2611 Wayne Ave BLDG 64
Dayton, OH 45420-1833

Mailing address

6400 E Broad St Ste 400
Columbus, OH 43213-2979
Phone (614) 655-3345

Other names 1

  • Access Ohio Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130612000051 OH Part B Supplier - Clinic/Group Practice 4385899053 Receives reassigned benefits from 66 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Columbus, OH; Mount Gilead, OH; Martins Ferry, OH; London, OH; Delaware, OH; Dayton, OH

Other NPIs on the same Medicare enrollment 1

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2103924Access Ohio LLC2611 Wayne Ave, BLDG #64, Suite 52, Dayton, OH 45420Certificate of waiverApr 14, 2028
36D2234509Access Ohio LLC2611 Wayne Ave, BLDG #64, Suite 55, Dayton, OH 45420Certificate of waiverApr 20, 2028

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

4725 Parkwick Dr
Ste 100
Columbus, OH 43228
Phone (614) 655-3354

6400 E Broad St
Ste 400
Columbus, OH 43213
Phone (614) 367-7700

99 N Brice Rd
Ste 360
Columbus, OH 43213
Phone (614) 367-7700

2611 Wayne Ave
Bldg 64
Dayton, OH 45420
Phone (614) 256-7811

250 S Henry St
Delaware, OH 43015
Phone (740) 369-4482

Practitioners & affiliated clinicians

Practitioners 81

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 81

NPI Registry JSON

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1194179150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 E BROAD ST STE 400",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132979",
            "telephone_number": "614-655-3345",
            "fax_number": "614-317-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 WAYNE AVE BLDG 64",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454201833",
            "telephone_number": "614-256-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS OHIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-15",
        "last_updated": "2023-07-20",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-228-0579",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "13909",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "OH",
            "license": "13908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Access Ohio",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Access Ohio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.