NPIMap

Organization Active NPI

Spencer Halfway House, Inc.

  • Substance Abuse Rehabilitation Facility
  • Newark, OH
National Provider Identifier
1659429256
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SPENCER HALFWAY HOUSE, INC.
Practice address
69 Granville St
Newark, OH 43055-4983
Phone
(740) 345-7030
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Patrick C. Evans
Title
Chief Executive Officer
Phone
(740) 349-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X OH Primary

Addresses

Primary practice location

69 Granville St
Newark, OH 43055-4983

Mailing address

PO Box 4005
Newark, OH 43058-4005
Phone (740) 345-5074

National Provider Directory

National Provider Directory

Locations

69 Granville St
Newark, OH 43055
Phone (740) 345-7030

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659429256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4005",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430584005",
            "telephone_number": "740-345-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 GRANVILLE ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430554983",
            "telephone_number": "740-345-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCER HALFWAY HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "740-349-1800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.