Miklat Recovery

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

MIKLAT RECOVERY

Practice address

23412 Commerce Park
Beachwood, OH 44122-5813

Phone

(216) 600-6640

NPI assigned

Nov 2, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Aharon Fergusson

Title

Owner

Phone

(216) 600-4460

Specialties & licenses 1

Addresses

Other names 1

• Asurgent Health Doing business as

Tax ID family

Asurgent Health2 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.

• Miklat Recovery

  • Adult Mental Health Clinic/Center
  • Beachwood, OH
  • NPI 1376316547
  NPD tax ID

Locations

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1447728902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23412 COMMERCE PARK",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225813",
            "telephone_number": "216-600-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23412 COMMERCE PARK",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225813",
            "telephone_number": "216-600-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKLAT RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-02",
        "last_updated": "2023-09-14",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "FERGUSSON",
        "authorized_official_first_name": "AHARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-600-4460",
        "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": "Asurgent Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Asurgent Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hannah Mickle, APRN,FNP-C
• Fatuma Midamba, M.D.
• Korey Middlebrooks
• Paul Mikhli
• Miklat Recovery
• Sarah Taylor Milam, PA-C
• Rachael C Milan, DPT
• Danielle Miller-Dorsey, LPCC
• Alexander Miller, MD
• Annemarie E Miller, PA-C

• Substance Abuse Rehabilitation Facility in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Substance Abuse Rehabilitation Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.