Resurgence Residential Solutions LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

RESURGENCE RESIDENTIAL SOLUTIONS LLC

Practice address

1720 Indian Wood Cir Ste I
Maumee, OH 43537-4041

Phone

(567) 868-7810

NPI assigned

Mar 19, 2025

Last updated

Mar 19, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

JEHOVAH NISSI HOLDINGS LLCAs reported in NPPES

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

Authorized official

Name

Michael Allen Robinson

Title

Director Director Designee

Phone

(567) 868-7810

Specialties & licenses 1

Addresses

Other names 1

• Jehovah Nissi Holdings LLC Other name

Locations

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

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1487454294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 146",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435280146",
            "telephone_number": "567-868-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 INDIAN WOOD CIR STE I",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435374041",
            "telephone_number": "567-868-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURGENCE RESIDENTIAL SOLUTIONS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEHOVAH NISSI HOLDINGS LLC",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "DIRECTOR DIRECTOR DESIGNEE",
        "authorized_official_telephone_number": "567-868-7810"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jehovah Nissi Holdings LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Maumee, OH
• Providers in Maumee, OH by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.