Organization Active NPI

Focus Residential Group, LLC

  • Substance Abuse Rehabilitation Facility
  • Franklin Furnace, OH
National Provider Identifier
1962801548
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
13721 Issued in OH
Legal business name
FOCUS RESIDENTIAL GROUP, LLC
Practice address
303 Gervais Rd
Franklin Furnace, OH 45629-8742
Phone
(740) 259-7000
Fax
(740) 259-7001
NPI assigned
Aug 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Authorized official

Name
Kelly K Gifford, RNNPI 1558652495
Title
Owner, Executive Director
Phone
(740) 259-7000

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
Substance Abuse Rehabilitation Facility 324500000X 13721 OH Primary

Addresses

Primary practice location

303 Gervais Rd
Franklin Furnace, OH 45629-8742

Mailing address

303 Gervais Rd
Franklin Furnace, OH 45629-8742
Phone (740) 259-7000

Other identifiers 1

IdentifierTypeStateIssuer
13721OtherOHOHIO MENTAL HEALTH AND ADDICTION SERVICES

National Provider Directory

National Provider Directory
Tax ID family
Focus Residential Group 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.

Practitioners & affiliated clinicians

Practitioners 68

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 68

NPI Registry JSON

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1962801548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 GERVAIS RD",
            "city": "FRANKLIN FURNACE",
            "state": "OH",
            "postal_code": "456298742",
            "telephone_number": "740-259-7000",
            "fax_number": "740-259-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 GERVAIS RD",
            "city": "FRANKLIN FURNACE",
            "state": "OH",
            "postal_code": "456298742",
            "telephone_number": "740-259-7000",
            "fax_number": "740-259-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOCUS RESIDENTIAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "GIFFORD",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER, EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "740-259-7000",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "OH",
            "license": "13721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO MENTAL HEALTH AND ADDICTION SERVICES",
            "identifier": "13721",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Furnace, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.