Vertava Health Outpatient Ohio LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

VERTAVA HEALTH OUTPATIENT OHIO LLC

Practice address

20575 Center Ridge Rd Ste 400
Rocky River, OH 44116-3422

Phone

(440) 290-4025

NPI assigned

Jan 19, 2021

Last updated

Sep 14, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

VERTAVA HEALTH OUTPATIENT OHIO LLCAs reported in NPPES

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 Outpatient Ohio - Rocky River Other name

Tax ID family

Vertava Health Outpatient Ohio LLC4 organizations share this tax ID, including this one

Part of

Vertava Health Outpatient Ohio LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Vertava Health Outpatient Ohio LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Dublin, OH
  • NPI 1396343877
  NPD tax ID
• Vertava Health Outpatient Ohio LLC

  dba Vertava Health Outpatient Ohio - Westerville

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Westerville, OH
  • NPI 1780273433
  NPD tax ID
• Vertava Health Outpatient Ohio LLC

  dba Vertava Health Outpatient Ohio - Beachwood

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Beachwood, OH
  • NPI 1881274397
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Vertava Health Outpatient Ohio LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Dublin, OH
  • NPI 1396343877
  NPPES parent name

Practitioners 1

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.

• Linn Leclair, PA-C

  • Physician Assistant
  • Cleveland, OH
  • NPI 1477913671
  NPD (past)

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1235729823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90368",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372090368",
            "telephone_number": "615-921-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20575 CENTER RIDGE RD STE 400",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163422",
            "telephone_number": "440-290-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERTAVA HEALTH OUTPATIENT OHIO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VERTAVA HEALTH OUTPATIENT OHIO LLC",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "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": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vertava Health Outpatient Ohio - Rocky River",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Vertava Health Outpatient Ohio - Rocky River",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Rocky River, OH
• Providers in Rocky River, OH by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.