Aurora-Recovery, LLC
Organization Active NPI Community/Behavioral Health Agency · Brookfield, OH
NPI 1962049684 · NPPES record last updated Oct 22, 2024
Key facts
- NPI
- 1962049684
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- AURORA-RECOVERY, LLC
- Practice address
- 7529 Warren Sharon Rd
Brookfield, OH 44403-9796 - Phone
- (740) 415-1138
- Fax
- (201) 661-2846
- NPI assigned
- Dec 2, 2019
- Organization subpart
- No
Authorized official
- Name
- Bryan Casey
- Title
- President
- Phone
- (740) 415-1138
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 1
Practitioners 22
-
Timothy Maxwell Liles, SWT, CDCA, QMHS, CMS
-
Matthew Glover, SOCIAL WORKER
-
Brandi Houk, LSW
-
Bethany Leandra Lovely, CDCA
-
Joshua Thacker, CDCA, QMHS
-
Lena Thompson, STNA
-
Wendy Tyler, LPN
-
Melinda A Haaf, LICDC-CS,LCADC, LPCA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240318001545 | OH | Part B Supplier - Clinic/Group Practice | 0840637575 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment Practice locations: Brookfield, OH |
National Provider Directory
- Tax ID family
- Aurora-Recovery LLC
Locations
7529 Warren Sharon Rd
Brookfield, OH 44403
Phone (330) 421-8247
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes | ||
| Substance Abuse Rehabilitation Facility | 324500000X |
Addresses
Primary practice location
7529 Warren Sharon Rd
Brookfield, OH 44403-9796
Mailing address
26261 Main St Apt 2
Coolville, OH 45723-9205
Phone (740) 415-1138
Other providers in Brookfield, OH
- Ramsey Ahmed
- Loretta Anderson
- Robert Andress Jr.
- Aurora-Recovery, LLC
- Melinda Bailey
- Hannah Baker
- Be Well Therapies, LLC
- Julia Bentley
- Jennifer Beshara
All providers in Brookfield, OH · Community/Behavioral Health Agency in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.