Organization Active NPI

Concerted Care Group Austintown LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Austintown, OH
National Provider Identifier
1518654995
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
CONCERTED CARE GROUP AUSTINTOWN LLC
Practice address
6000 Mahoning Ave Ste 39
Austintown, OH 44515-2240
Phone
(667) 239-3293
NPI assigned
Apr 18, 2023
Organization subpart
Yes
Parent organization
CCG HOLDCO LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Authorized official

Name
Keonna Armstrong
Title
VP of Revenue Cycle Management
Phone
(240) 813-9867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

6000 Mahoning Ave Ste 39
Austintown, OH 44515-2240

Mailing address

3905 National Dr Ste 200
Burtonsville, MD 20866-6143
Phone (667) 239-3293

National Provider Directory

National Provider Directory

Locations

6000 Mahoning Ave
Ste 39
Austintown, OH 44515
Phone (667) 239-3293

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1518654995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 NATIONAL DR STE 200",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208666143",
            "telephone_number": "667-239-3293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 MAHONING AVE STE 39",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445152240",
            "telephone_number": "667-239-3293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCERTED CARE GROUP AUSTINTOWN LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CCG HOLDCO LLC",
        "enumeration_date": "2023-04-18",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "KEONNA",
        "authorized_official_title_or_position": "VP OF REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "240-813-9867"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austintown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.