NPIMap

Organization Active NPI

Caregiver Grove Behavioral Health

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Toledo, OH
National Provider Identifier
1801323928
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
CAREGIVER GROVE BEHAVIORAL HEALTH
Practice address
3950 Sunforest CT Ste 207
Toledo, OH 43623-4522
Phone
(419) 720-6811
Fax
(419) 754-2271
NPI assigned
May 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Authorized official

Name
Chass Rice
Title
Vice President
Phone
(419) 340-5137

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

3950 Sunforest CT Ste 207
Toledo, OH 43623-4522

Mailing address

3950 Sunforest CT Ste 207
Toledo, OH 43623-4522
Phone (419) 720-6811

Other identifiers 1

IdentifierTypeStateIssuer
0223685MedicaidOH

National Provider Directory

National Provider Directory

Locations

831 N Detroit Ave
Toledo, OH 43607
Phone (567) 868-8246

1946 N 13th St
Ste 450
Toledo, OH 43604
Phone (419) 708-1875

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1801323928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 SUNFOREST CT STE 207",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234522",
            "telephone_number": "419-720-6811",
            "fax_number": "419-754-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 SUNFOREST CT STE 207",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234522",
            "telephone_number": "419-720-6811",
            "fax_number": "419-754-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREGIVER GROVE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-19",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "CHASS",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "419-340-5137"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0223685",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.