On-Belay of MN Incorporated

Primary specialty

Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X

License

5228577 Issued in MN

Legal business name

ON-BELAY OF MN INCORPORATED

Doing business as

Anthony Louis Center

Practice address

115 Forestview Lane
Plymouth, MN 55441

Phone

(763) 542-9212

NPI assigned

Mar 31, 2006

Organization subpart

No

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

Authorized official

Name

Marcey Theis

Title

Office Manager

Phone

(763) 367-6981

Specialties & licenses 1

Addresses

Other names 1

• Anthony Louis Center Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Brogger, MA LADC

  • Counselor
  • Blaine, MN
  • NPI 1972738920
  NPD (past)
• Jeff Glover, MA LADC

  • Counselor
  • Burnsville, MN
  • NPI 1477788461
  NPD (past)

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1396706008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 FORESTVIEW LANE",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "55441",
            "telephone_number": "763-542-9212",
            "fax_number": "763-542-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 FORESTVIEW LANE",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "55441",
            "telephone_number": "763-542-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON-BELAY OF MN INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "THEIS",
        "authorized_official_first_name": "MARCEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "763-367-6981"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "MN",
            "license": "5228577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anthony Louis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Omega Health Supply & Delivery, Inc
• Ometta Health Care Services, Inc (Ometta Health Care)
• Ometta Vent Care Services, Inc (Ometta Vent Care)
• Ometta, LLC
• Titilope Olaoluwa Omisakin, DNP, APRN, CNP
• Steve Ongera-Ogega, ATC
• Opportunity Partners Inc. (Lavine Place)
• Optage Inc (Presbyterian Homes and Services Rehabilitation)
• Optima Care, LLC (Optima Home Care, LLC)
• Optum Behavioral Care of Colorado, P.C.

• Children's Substance Abuse Rehabilitation Facility in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Children's Substance Abuse Rehabilitation Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.