OHIO DETOX CENTER
NPI 1003337734
Substance Abuse Rehabilitation Facility in Maumee, OH

Active since July 03, 2017CLIA Certified · 2 labs
1757 INDIAN WOOD CIR STE A, MAUMEE, OH 43537(866) 203-0308 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 5, 2024, Nov 17, 2023, Oct 6, 2023 and 9 more (12 updates tracked since 2017).

About Ohio Detox Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OHIO DETOX CENTER (NPI 1003337734) is a healthcare organization registered as a substance abuse rehabilitation facility in Maumee, Ohio and active in the NPI registry since July 2017. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Maumee, and lists Kim Brown, Director Of Compliance, as its authorized official.

NPPES Registry Identity

NPI1003337734
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameMIDWEST DETOX CENTER LLC
Location Address1757 INDIAN WOOD CIR STE AMaumee, OH 43537-4009
Mailing Address10461 Mill Run Cir Ste 801Owings Mills, MD 21117-5544
Organization SubpartNo
Authorized OfficialKim BrownDirector Of Compliance · (870) 243-7219
Enumeration DateJuly 3, 2017
Last NPPES UpdateJanuary 12, 202412 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2024
NPI 1003337734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
1757 INDIAN WOOD CIR STE A, Maumee, OH 43537

Other Names 1

Doing Business AsOhio Detox Center

Secondary Practice Location 1

Location 11760 Manley Rd Bldg 1760Maumee, OH 43537-9400 · Phone (866) 203-0308

Other Identifiers 1

Medicaid0281740OH

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2133043

Midwest Detox Center Dba Ohio Detox Center · Maumee, OH
Active · expires Oct 7, 2026
CLIA Number36D2133043
Laboratory TypeSud Treatment Facility
Certificate Effective DateOctober 8, 2024
Certificate Expiration DateOctober 7, 2026
Laboratory DirectorVahid Osman
Laboratory Phone(443) 450-9347
Laboratory LocationMidwest Detox Center Dba Ohio Detox Center1760 Manley Road, Maumee, OH 43537
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D2232079

Midwest Detox Center · Maumee, OH
Active · expires Aug 9, 2027
CLIA Number36D2232079
Laboratory TypeSubstance Abuse Residenti
Certificate Effective DateAugust 10, 2025
Certificate Expiration DateAugust 9, 2027
Laboratory DirectorVahid Osman
Laboratory Phone(419) 509-7214
Laboratory LocationMidwest Detox Center1757 Indian Wood Circle, Maumee, OH 43537
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Midwest Detox Center LLC's NPI number?

The NPI number for Midwest Detox Center LLC is 1003337734. It was assigned to this organization in the NPPES registry on July 3, 2017. The provider is doing business as Ohio Detox Center.

Where is Midwest Detox Center LLC located?

Midwest Detox Center LLC is located at 1757 Indian Wood Cir Ste A, Maumee, OH 43537. The listed phone number is (866) 203-0308.

What is Midwest Detox Center LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Midwest Detox Center LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Midwest Detox Center LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and MedMutual list Midwest Detox Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Midwest Detox Center LLC was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.