Concerted Care Group Austintown LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

CONCERTED CARE GROUP AUSTINTOWN LLC

Practice address

6000 Mahoning Ave Ste 394
Austintown, OH 44515-2225

Phone

(240) 813-9867

NPI assigned

Apr 5, 2023

Organization subpart

Yes

Parent organization

CCG HOLDCO LLCAs reported in NPPES

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

Addresses

Tax ID family

Concerted Care Group Austintown LLC2 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.

• Concerted Care Group Austintown LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Austintown, OH
  • NPI 1114619749
  NPD tax ID

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1558066787",
    "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": "240-813-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 MAHONING AVE STE 394",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445152225",
            "telephone_number": "240-813-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCERTED CARE GROUP AUSTINTOWN LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CCG HOLDCO LLC",
        "enumeration_date": "2023-04-05",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "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": []
}

• Compass Primary Care Inc
• Comprehensive Behavioral Health Associates
• Comprehensive Behavioral Health Associates, Inc.
• Concerted Care Group Austintown LLC
• Concerted Care Group Austintown LLC
• Eva Conner
• Danielle Marie Conrad, DPT
• Molly Conser
• Consumer Support Services, Inc.
• Consumer Support Services, Inc.

• Substance Use Disorder Rehabilitation Clinic/Center in Austintown, OH
• Providers in Austintown, OH by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.