Active NPI
CRN Healthcare, Inc.
- Community/Behavioral Health Agency
- Centerville, OH
National Provider Identifier
1871005306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CRN HEALTHCARE, INC.
- Practice address
- 201 W. Frnaklin Street
Suite B
Centerville, OH 45459 - Phone
- (937) 672-1424
- Fax
- (234) 806-4504
- NPI assigned
- Oct 24, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Keith Anthony Vukasinovich
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
201 W. Frnaklin Street
Suite B
Centerville, OH 45459
Mailing address
201 W. Franklin Street
Suite B
Centerville, OH 45459
Phone (937) 672-1424
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0258381 | Medicaid | OH |
Other names 1
- CRN of Warren
National Provider Directory
National Provider Directory- Tax ID family
- CRN Healthcare Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Centerville, OH
- NPI 1760974349
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Centerville, OH
- NPI 1982625208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703030400000",
"number": "1871005306",
"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. FRNAKLIN 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": "2017-10-24",
"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": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0258381",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CRN of Warren",
"code": "3",
"type": "Doing Business As"
}
]
}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.