NPIMap

Organization Active NPI

Community Healthcare Associates of Ohio, LLC

  • Adult Mental Health Clinic/Center
  • Byesville, OH
National Provider Identifier
1881059780
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
E-1153 Issued in OH
Legal business name
COMMUNITY HEALTHCARE ASSOCIATES OF OHIO, LLC
Practice address
209 Seneca Ave Unit D
Byesville, OH 43723-1364
Phone
(740) 685-1610
Fax
(740) 685-1610
NPI assigned
Dec 18, 2015
Last updated
Jan 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Authorized official

Name
Mr. Chester James Larrick, LPCC-SNPI 1477761773
Title
President, Ceo
Phone
(740) 685-1610

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
Adult Mental Health Clinic/Center 261QM0850X E-1153 OH Primary

Addresses

Primary practice location

209 Seneca Ave Unit D
Byesville, OH 43723-1364

Mailing address

209 Seneca Ave., Unit D
P.O. Box 112
Byesville, OH 43723
Phone (740) 685-1610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170127001389 OH Part B Supplier - Clinic/Group Practice 2961784970 Receives reassigned benefits from 1 practitioner
Practice locations: Byesville, OH

National Provider Directory

National Provider Directory
Tax ID family
Community Healthcare Associates of Ohio LLC2 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

209 Seneca Ave
Unit 3
Byesville, OH 43723
Phone (740) 685-1610

209 Seneca Ave
Unit D
Byesville, OH 43723
Phone (740) 685-1610

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1881059780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 SENECA AVE., UNIT D",
            "address_2": "P.O. BOX 112",
            "city": "BYESVILLE",
            "state": "OH",
            "postal_code": "43723",
            "telephone_number": "740-685-1610",
            "fax_number": "740-685-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 SENECA AVE UNIT D",
            "city": "BYESVILLE",
            "state": "OH",
            "postal_code": "437231364",
            "telephone_number": "740-685-1610",
            "fax_number": "740-685-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTHCARE ASSOCIATES OF OHIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-18",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "LARRICK",
        "authorized_official_first_name": "CHESTER",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "740-685-1610",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPCC-S"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "OH",
            "license": "E-1153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Byesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.