Organization Active NPI

On Demand Opiate Recovery, LLC

  • Multi-Specialty Clinic/Center
  • Austintown, OH
National Provider Identifier
1730622895
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ON DEMAND OPIATE RECOVERY, LLC
Practice address
102 Westchester Dr
Austintown, OH 44515-3963
Phone
(330) 270-3660
NPI assigned
Nov 22, 2016
Organization subpart
Yes
Parent organization
ON DEMAND SUBOXONE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Authorized official

Name
Tom Ivany
Title
Ceo/Owner
Phone
(330) 270-3660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

102 Westchester Dr
Austintown, OH 44515-3963

Mailing address

102 Westchester Dr
Austintown, OH 44515-3963
Phone (330) 270-3660

National Provider Directory

National Provider Directory
Part of
On Demand Opiate Recovery LLC

Locations

102 Westchester Dr
Youngstown, OH 44515
Phone (330) 270-3660

NPI Registry JSON

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1730622895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WESTCHESTER DR",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445153963",
            "telephone_number": "330-270-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WESTCHESTER DR",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445153963",
            "telephone_number": "330-270-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON DEMAND OPIATE RECOVERY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ON DEMAND SUBOXONE, LLC",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "IVANY",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "330-270-3660"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "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 Nov 22, 2016; 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.