Care Addiction Center LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

32409 Issued in IL

Legal business name

CARE ADDICTION CENTER LLC

Practice address

309 Hamilton St Ste B
Geneva, IL 60134-2182

Phone

(724) 462-3779

Fax

(331) 248-0023

NPI assigned

Jan 27, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Goff, MSW CADC

Title

Owner

Phone

(724) 462-3779

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1497292460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 HAMILTON ST STE B",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 HAMILTON ST STE B",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342182",
            "telephone_number": "724-462-3779",
            "fax_number": "331-248-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE ADDICTION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-27",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "GOFF",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-462-3779",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW CADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "32409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Cannon, RBT
• Luis Felipe Cano, RD
• Ronald Capek, RPH
• Scott A Capper, D.D.S.
• Taylor Carbonetti, PT
• Care Addiction Treatment Program
• Anna Marie Caringella, DNP
• Barbara Carlisle, MPT
• Chloe Carlson, LPC
• Rachel Carlson, MD

• Community/Behavioral Health Agency in Geneva, IL
• Providers in Geneva, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.