Individual provider Active NPI

Bobbie Nevarez

  • Community/Behavioral Health Agency
  • Lima, OH
National Provider Identifier
1982461000
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Practice address
230 S Collett St
Lima, OH 45805-3204
Phone
(567) 204-5278
NPI assigned
Mar 5, 2024
Last updated
Mar 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

230 S Collett St
Lima, OH 45805-3204

Mailing address

759 W Wayne St
Lima, OH 45801-3930
Phone (567) 204-5278

Other practice location 1

705 W Spring St
Lima, OH 45801-4645
Phone (567) 204-5278

Other practice location 2

1003 Fairview Ave
Lima, OH 45804-2625
Phone (567) 204-5278

Other practice location 3

717 Faurot Ave
Lima, OH 45801-4625
Phone (567) 204-5278

Other practice location 4

510 W Eureka St
Lima, OH 45801-4738
Phone (567) 204-5278

Other practice location 5

831 W Wayne St
Lima, OH 45801-3932
Phone (567) 204-5278

Other practice location 6

224 S Collett St
Lima, OH 45805-3277
Phone (567) 204-5278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1982461000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 W WAYNE ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458013930",
            "telephone_number": "567-204-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S COLLETT ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458053204",
            "telephone_number": "567-204-5278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 W Spring St",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458014645",
            "country_code": "US",
            "telephone_number": "567-204-5278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1003 Fairview Ave",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458042625",
            "country_code": "US",
            "telephone_number": "567-204-5278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "717 Faurot Ave",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458014625",
            "country_code": "US",
            "telephone_number": "567-204-5278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 W Eureka St",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458014738",
            "country_code": "US",
            "telephone_number": "567-204-5278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "831 W Wayne St",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458013932",
            "country_code": "US",
            "telephone_number": "567-204-5278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "224 S Collett St",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458053277",
            "country_code": "US",
            "telephone_number": "567-204-5278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEVAREZ",
        "first_name": "BOBBIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.