Active NPI
Legends Recovery Center of Ohio LLC
- Substance Abuse Rehabilitation Facility
- Green Springs, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- LEGENDS RECOVERY CENTER OF OHIO LLC
- Practice address
- 430 N Broadway St
Green Springs, OH 44836-9734 - Phone
- (844) 534-3638
- NPI assigned
- Jun 7, 2022
- Last updated
- Jun 7, 2022
- 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
- Eva I Dudek, BS,MHA,CAP
- Title
- Chief Compliance/Project Manager
- Phone
- (561) 301-9423
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
430 N Broadway St
Green Springs, OH 44836-9734
Mailing address
95 Main Ave Ste 121
Clifton, NJ 07014-1757
Phone (844) 534-3638
National Provider Directory
National Provider Directory- Tax ID family
- Legends Recovery Center of Ohio LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Green Springs, OH
- NPI 1740079243
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Addiction (Substance Use Disorder) Counselor
- Lake Park, FL
- NPI 1205317245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654560000000",
"number": "1942939764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 MAIN AVE STE 121",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070141757",
"telephone_number": "844-534-3638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 N BROADWAY ST",
"city": "GREEN SPRINGS",
"state": "OH",
"postal_code": "448369734",
"telephone_number": "844-534-3638"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGENDS RECOVERY CENTER OF OHIO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-07",
"last_updated": "2022-06-07",
"certification_date": "2022-06-07",
"status": "A",
"authorized_official_last_name": "DUDEK",
"authorized_official_first_name": "EVA",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "CHIEF COMPLIANCE/PROJECT MANAGER",
"authorized_official_telephone_number": "561-301-9423",
"authorized_official_credential": "BS,MHA,CAP"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Green Springs, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.