Selfrefind Ohio LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

13822 Issued in OH

Legal business name

SELFREFIND OHIO LLC

Practice address

4312 Old Scioto TRL
Portsmouth, OH 45662-6642

Phone

(740) 961-5005

NPI assigned

Jul 1, 2015

Organization subpart

No

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

Authorized official

Name

Mr. James Durham

Title

President

Phone

(859) 209-2287

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Selfrefind2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Selfrefind Ohio, LLC

  • Addiction Medicine (Family Medicine) Physician
  • Zanesville, OH
  • NPI 1740686013
  NPD tax ID

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1356724876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 S 4TH ST",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404222053",
            "telephone_number": "859-209-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4312 OLD SCIOTO TRL",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456626642",
            "telephone_number": "740-961-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELFREFIND OHIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "DURHAM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-209-2287",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "OH",
            "license": "13822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13822",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven McKinley Scurlock, D.D.S.
• Daniel D Seal, CDCA
• Lindsay R Secrest
• Nathan James Seesholtz
• Stephanie Seevers
• Vivian Marie Seth
• Loretta A Settonni, MD
• Tammy Jean Sexton, LPN
• Elsie M Shabazz
• Roxanne Shadley, CDCA

• Substance Use Disorder Rehabilitation Clinic/Center in Portsmouth, OH
• Providers in Portsmouth, 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 Jul 16, 2015; 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.