NPIMap

Organization Active NPI

Coshocton County Recovery LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Coshocton, OH
National Provider Identifier
1902408321
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
COSHOCTON COUNTY RECOVERY LLC
Practice address
537 Main St
Coshocton, OH 43812-1628
Phone
(740) 693-4113
NPI assigned
Nov 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Authorized official

Name
Ms. Bobbi Milbrandt, LICDC
Title
Clinical/Executive Director
Phone
(740) 861-1704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

537 Main St
Coshocton, OH 43812-1628

Mailing address

537 Main St
Coshocton, OH 43812-1628
Phone (740) 693-4113

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1902408321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 MAIN ST",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438121628",
            "telephone_number": "740-693-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 MAIN ST",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438121628",
            "telephone_number": "740-693-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSHOCTON COUNTY RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "MILBRANDT",
        "authorized_official_first_name": "BOBBI",
        "authorized_official_title_or_position": "CLINICAL/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "740-861-1704",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICDC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coshocton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.