NPIMap

Organization Active NPI

Fortaleza,LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lorain, OH
National Provider Identifier
1326463720
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
FORTALEZA,LLC
Practice address
6061 S Broadway
Lorain, OH 44053-3818
Phone
(440) 375-5342
NPI assigned
Feb 22, 2014
Last updated
Apr 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Authorized official

Name
Mr. Anthony VillaNPI 1245072883
Title
Ceo
Phone
(440) 324-7406

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

6061 S Broadway
Lorain, OH 44053-3818

Mailing address

6061 S Broadway
Lorain, OH 44053-3818
Phone (440) 375-5342

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171006002297 OH Part B Supplier - Clinic/Group Practice 2769757335 Receives reassigned benefits from 3 practitioners
Practice locations: Cleveland, OH; Elyria, OH

National Provider Directory

National Provider Directory

Locations

2301 Scranton Rd
Cleveland, OH 44113
Phone (216) 217-4562

41641 N Ridge Rd
Ste B
Elyria, OH 44035
Phone (440) 324-7406

Practitioners & affiliated clinicians

Practitioners 20

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 20

NPI Registry JSON

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

{
    "created_epoch": "1393027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1326463720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6061 S BROADWAY",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440533818",
            "telephone_number": "440-375-5342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6061 S BROADWAY",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440533818",
            "telephone_number": "440-375-5342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTALEZA,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-22",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A",
        "authorized_official_last_name": "VILLA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "440-324-7406",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; 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.