Peru Operating Co., LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

PERU OPERATING CO., LLC

Practice address

3413 S Wallick Rd
Peru, IN 46970-7915

Phone

(513) 489-7100

NPI assigned

Sep 8, 2021

Organization subpart

No

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

Authorized official

Name

Isaac Rosedale

Title

President

Phone

(513) 489-7100

Specialties & licenses 1

Addresses

Tax ID family

Peru Operating Co 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.

• Peru Operating Co., LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Peru, IN
  • NPI 1548931959
  NPD tax ID

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1760151377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 ASHWOOD DR STE 200",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452412424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3413 S WALLICK RD",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469707915",
            "telephone_number": "513-489-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERU OPERATING CO., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "ROSEDALE",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-489-7100"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peer Point Recovery Services, LLC
• Austin Pence
• Carolyn Ruth Perry, MSN, PMHNP-BC
• Peru Community Schools
• Peru Operating Co., LLC
• Isabella Phillips, RBT
• Jayne Ellen Pugh, LPN
• Quad/Med, LLC
• Gregory A Quin, MD
• Tiffany Ragland

• Substance Use Disorder Rehabilitation Clinic/Center in Peru, IN
• Providers in Peru, IN by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.