NPIMap

Organization Active NPI

Caregiver Grove Behavioral Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Toledo, OH
National Provider Identifier
1821525841
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CAREGIVER GROVE BEHAVIORAL HEALTH LLC
Practice address
3950 Sunforest CT Ste 207
Toledo, OH 43623-4522
Phone
(419) 720-6811
Fax
(419) 754-2271
NPI assigned
May 22, 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 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
0224458MedicaidOH

National Provider Directory

National Provider Directory

Locations

3950 Sunforest Ct
Ste 207
Toledo, OH 43623
Phone (419) 340-5137

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": "1495411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1821525841",
    "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"
        },
        {
            "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 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-22",
        "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": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0224458",
            "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.