Organization Active NPI

Dominion Management LLC

  • Substance Abuse Rehabilitation Facility
  • Columbus, OH
National Provider Identifier
1356063838
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
DOMINION MANAGEMENT LLC
Practice address
992 Harrison Ave
Columbus, OH 43201-3325
Phone
(516) 300-3504
NPI assigned
Sep 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Authorized official

Name
Mr. Kevin Alter
Title
Ceo
Phone
(516) 300-3504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

992 Harrison Ave
Columbus, OH 43201-3325

Mailing address

992 Harrison Ave
Columbus, OH 43201-3325
Phone (516) 300-3504

Other names 1

  • Surfside Recovery Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1356063838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "992 HARRISON AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432013325",
            "telephone_number": "516-300-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "992 HARRISON AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432013325",
            "telephone_number": "516-300-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "ALTER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-300-3504",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surfside Recovery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Surfside Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.