NPIMap

Organization Active NPI

CRN Healthcare, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Centerville, OH
National Provider Identifier
1760974349
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
14345 Issued in OH
Legal business name
CRN HEALTHCARE, INC.
Practice address
201 W. Franklin Street
Suite B
Centerville, OH 45459
Phone
(937) 672-1424
Fax
(234) 806-4504
NPI assigned
May 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Authorized official

Name
Mr. Keith Anthony VukasinovichNPI 1982625208
Title
Business Manager/Clinical Manager
Phone
(937) 672-1424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 14345 OH Primary

Addresses

Primary practice location

201 W. Franklin Street
Suite B
Centerville, OH 45459

Mailing address

201 W. Franklin Street
Suite B
Centerville, OH 45459
Phone (937) 672-1424

Other identifiers 1

IdentifierTypeStateIssuer
0290561MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
CRN Healthcare Inc2 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.

Locations

201 W Franklin St
Ste B
Dayton, OH 45459
Phone (937) 672-1424

4087 Youngstown Rd SE
Warren, OH 44484
Phone (234) 806-4367

Practitioners & affiliated clinicians

Practitioners 1

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": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1760974349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W. FRANKLIN STREET",
            "address_2": "SUITE B",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "45459",
            "telephone_number": "937-672-1424",
            "fax_number": "234-806-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W. FRANKLIN STREET",
            "address_2": "SUITE B",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "45459",
            "telephone_number": "937-672-1424",
            "fax_number": "234-806-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRN HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "VUKASINOVICH",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "BUSINESS MANAGER/CLINICAL MANAGER",
        "authorized_official_telephone_number": "937-672-1424",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OH",
            "license": "14345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0290561",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.