MARYHAVEN
NPI 1083165633
Substance Abuse Rehabilitation Facility in Columbus, OH

Q: What is Maryhaven's NPI number?

The NPI number for Maryhaven is 1083165633. It was assigned to this organization in the NPPES registry on October 19, 2016.

Q: What is Maryhaven's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Maryhaven was last updated on October 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since October 19, 2016CLIA 36D2027344 · Waiver

1791 ALUM CREEK DR, COLUMBUS, OH 43207(614) 445-8131 Get Directions Write a Review

NPPES record last updated: October 19, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Maryhaven NPPES

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

MARYHAVEN (NPI 1083165633) is a healthcare organization registered as a substance abuse rehabilitation facility in Columbus, Ohio and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through July 21, 2027 and lists Natalie Deann Dalton, Counselor Assistant, as its authorized official.

NPPES Registry Identity

NPI1083165633

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameMARYHAVEN

Location Address1791 ALUM CREEK DRColumbus, OH 43207-1708

Mailing Address1791 Alum Creek DrColumbus, OH 43207-1708 · (614) 445-8131

Phone(614) 445-8131

Organization SubpartNo

Authorized OfficialNatalie Deann DaltonCounselor Assistant · (614) 445-8131

Enumeration DateOctober 19, 2016

✔ NPI 1083165633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

License✔ Licensed in OH · 160921

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.

1791 ALUM CREEK DR, Columbus, OH 43207

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CLIA Laboratory Certificates CMS CLIA

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 36D2027344

Maryhaven, Inc · Columbus, OH

Active · expires Jul 21, 2027

CLIA Number36D2027344

Laboratory TypeDrug And Alcohol Rehab

Certificate Effective DateJuly 22, 2025

Certificate Expiration DateJuly 21, 2027

Laboratory DirectorTrupti Patel

Laboratory Phone(614) 445-8131

Laboratory LocationMaryhaven, Inc1791 Alum Creek Drive, Columbus, OH 43207

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TARA SUE HUPP CDCA

Counselor (Addiction (Substance Use Disorder))