NPIMap

Organization Active NPI

Huber Heights Holdings, LLC

  • Psychiatric Hospital
  • Huber Heights, OH
National Provider Identifier
1194464081
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
HUBER HEIGHTS HOLDINGS, LLC
Practice address
6210 Bellefontaine Rd
Huber Heights, OH 45424-4009
Phone
(937) 236-1800
Fax
(937) 347-5912
NPI assigned
May 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Rachel E Costello, PH.D., MS. LPCC-S
Title
Ceo
Phone
(937) 231-1838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

6210 Bellefontaine Rd
Huber Heights, OH 45424-4009

Mailing address

6210 Bellefontaine Rd
Dayton, OH 45424-4009
Phone (937) 236-1800

Other names 1

  • AM Behavioral Huber Heights Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Hospital certification: CCN 364068

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
AM BEHAVIORAL HUBER HEIGHTS
Certification status
Terminated Voluntary: merger or closure, Mar 26, 2025
Provider type (POS)
Hospital – Psychiatric
Participating since
Dec 13, 2023
Last certification
Dec 13, 2023
Beds
28
Ownership / control type
Private (for profit)
Facility address
6210 Bellefontaine Road
Huber Heights, OH 45424

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": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1194464081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 BELLEFONTAINE RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454244009",
            "telephone_number": "937-236-1800",
            "fax_number": "937-701-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6210 BELLEFONTAINE RD",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454244009",
            "telephone_number": "937-236-1800",
            "fax_number": "937-347-5912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUBER HEIGHTS HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-31",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "COSTELLO",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-231-1838",
        "authorized_official_credential": "PH.D., MS. LPCC-S"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AM Behavioral Huber Heights",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AM Behavioral Huber Heights",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huber Heights, OH

Sources for this page

Verify at the official NPI Registry.