Meditox Care, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

MEDITOX CARE, LLC

Doing business as

Elevate Health and Wellness

Practice address

179 Post Rd W
Westport, CT 06880-4602

Phone

(203) 450-4882

NPI assigned

Jul 18, 2022

Organization subpart

Yes

Parent organization

MEDITOX CARE, LLCAs reported in NPPES

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

Authorized official

Name

Mohamed Elsamra, MD

Title

Owner

Phone

(203) 887-3890

Specialties & licenses 1

Addresses

Other names 1

• Elevate Health and Wellness Doing business as

Tax ID family

Meditox Care LLC3 organizations share this tax ID, including this one

Part of

Meditox Care LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Meditox Care, LLC

  • Psychiatric Residential Treatment Facility
  • Clinton, CT
  • NPI 1003788233
  NPD tax ID
• Meditox Care, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Westport, CT
  • NPI 1730623737
  NPD tax ID

Locations

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1629703384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 POST RD W",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804602",
            "telephone_number": "203-450-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 POST RD W",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804602",
            "telephone_number": "203-450-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDITOX CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDITOX CARE, LLC",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "ELSAMRA",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-887-3890",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elevate Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Theresa M McGuinness, LMFT
• Kara Ann McHugh, LPC-A
• Heather Elisabeth McKee, PSY.D.
• William Mecca Jr., LCSW
• Med-Teksi LLC
• Meditox Care, LLC
• Meditox Care, LLC
• Holly Christine Mehne, MSW
• Alan Kurt Meinke, M.D.
• Lydia Melland

• Substance Abuse Rehabilitation Facility in Westport, CT
• Providers in Westport, CT by specialty
• Substance Abuse Rehabilitation Facility in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.