Baymark Health Services of Ohio, Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

BAYMARK HEALTH SERVICES OF OHIO, INC.

Doing business as

AppleGate Recovery Willoughby

Practice address

35110 Euclid Ave Ste 2
Willoughby, OH 44094-4523

Phone

(214) 379-3300

NPI assigned

Nov 29, 2018

Last updated

Jul 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bruce Jarvie

Title

VP, Treasurer

Phone

(214) 379-3300

Specialties & licenses 1

Addresses

Other names 1

• AppleGate Recovery Willoughby Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Baymark Health Services of Ohio, Inc

  dba BayMark Health Services Huber Heights

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Huber Heights, OH
  • NPI 1073001848

  O20181003002472

  Same enrollment
• Baymark Health Services of Ohio, Inc.

  dba AppleGate Recovery Elyria

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Elyria, OH
  • NPI 1669942934

  O20181003002472

  Same enrollment
• Baymark Health Services of Ohio, Inc.

  dba MedMark Treatment Centers Lebanon

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lebanon, OH
  • NPI 1740847557

  O20181003002472

  Same enrollment

Locations

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1841760113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 LAKEPOINTE DR STE 117",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576425",
            "telephone_number": "214-379-3300",
            "fax_number": "214-853-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35110 EUCLID AVE STE 2",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944523",
            "telephone_number": "214-379-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYMARK HEALTH SERVICES OF OHIO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "JARVIE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "VP, TREASURER",
        "authorized_official_telephone_number": "214-379-3300"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AppleGate Recovery Willoughby",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AppleGate Recovery Willoughby",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomesha Marie Barton, MD
• Amanda L. Basile
• Ivy Batos, DMD
• Danita Battle, LISW
• Baymark Health Services of Ohio, Inc. (Coleman Institute for Addiction Medicine)
• Shelly L. Beal
• Elizabeth Beauford
• Jennifer J Becker
• Arlene L Becks
• Marla Beddick

• Substance Use Disorder Rehabilitation Clinic/Center in Willoughby, OH
• Providers in Willoughby, OH by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.