Tehg, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

TEHG, LLC

Doing business as

The Ellis House Group

Practice address

40 S 2ND St
Waterville, OH 43566-1407

Phone

(419) 277-9843

Fax

(419) 710-8558

NPI assigned

May 20, 2018

Last updated

May 20, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Bonien Sue Rodriguez

Title

Coo

Phone

(419) 277-9843

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• The Ellis House Group Doing business as

Locations

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

{
    "created_epoch": "1526774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526774400000",
    "number": "1326539917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 S 2ND ST",
            "city": "WATERVILLE",
            "state": "OH",
            "postal_code": "435661407",
            "telephone_number": "419-277-9843",
            "fax_number": "419-710-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 S 2ND ST",
            "city": "WATERVILLE",
            "state": "OH",
            "postal_code": "435661407",
            "telephone_number": "419-277-9843",
            "fax_number": "419-710-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEHG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-20",
        "last_updated": "2018-05-20",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "BONIEN",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "419-277-9843",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "H483460",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0180404",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Ellis House Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Waterville, OH
• Providers in Waterville, 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 May 20, 2018; 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.