NPIMap

Organization Active NPI

Calvary Behavioral Health of Ohio, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Mason, OH
National Provider Identifier
1487251088
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
CALVARY BEHAVIORAL HEALTH OF OHIO, LLC
Practice address
7547 Central Parke Blvd
Mason, OH 45040-6811
Phone
(513) 993-0341
NPI assigned
Oct 6, 2020
Last updated
Apr 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Authorized official

Name
Branden Edward HeinemanNPI 1518311075
Title
Director
Phone
(513) 753-9964

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

7547 Central Parke Blvd
Mason, OH 45040-6811

Mailing address

7547 Central Parke Blvd
Mason, OH 45040-6811
Phone (513) 993-0341

Other practice location 1

1900 Johns Rd
Middletown, OH 45044-6732
Phone (513) 993-0341

Other identifiers 1

IdentifierTypeStateIssuer
0008641MedicaidOH

National Provider Directory

National Provider Directory

Locations

6722 State Route 132
Goshen, OH 45122
Phone (513) 575-7879

7547 Central Parke Blvd
Mason, OH 45040
Phone (513) 993-0341

1900 Johns Rd
Middletown, OH 45044
Phone (513) 993-0341

11974 Route 42
Ste 240
Sharonville, OH 45241
Phone (513) 993-0341

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1487251088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7547 CENTRAL PARKE BLVD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406811",
            "telephone_number": "513-993-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7547 CENTRAL PARKE BLVD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406811",
            "telephone_number": "513-993-0341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Johns Rd",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "OH",
            "postal_code": "450446732",
            "country_code": "US",
            "telephone_number": "513-993-0341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CALVARY BEHAVIORAL HEALTH OF OHIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "HEINEMAN",
        "authorized_official_first_name": "BRANDEN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "513-753-9964"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008641",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.