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HOMELAND ADDICTION TREATMENT CENTER LLC
NPI 1083461123
Clinic/Center - Mental Health (Including Community Mental Health Center) in Columbus, OH

Active since May 06, 2024CLIA 36D2298216 · Waiver
3505 E LIVINGSTON AVE STE G, COLUMBUS, OH 43227(614) 715-8216(614) 715-8239 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Homeland Addiction Treatment Center Llc NPPES

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

HOMELAND ADDICTION TREATMENT CENTER LLC (NPI 1083461123) is a healthcare organization registered as a mental health (including community mental health center) in Columbus, Ohio and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through January 29, 2028 and lists Kingsley Eyong Enow, Np/provider, as its authorized official.

NPPES Registry Identity

NPI1083461123
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameHOMELAND ADDICTION TREATMENT CENTER LLC
Location Address3505 E LIVINGSTON AVE STE GColumbus, OH 43227-2252
Mailing Address3505 E Livingston Ave Ste GColumbus, OH 43227-2252 · (614) 715-8216 · Fax (614) 715-8239
Phone(614) 715-8216
Fax(614) 715-8239
Organization SubpartNo
Authorized OfficialKingsley Eyong EnowNp/provider · (614) 715-8216
Enumeration DateMay 6, 2024
NPPES CertifiedMay 6, 2024
✔ NPI 1083461123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
3505 E LIVINGSTON AVE STE G, Columbus, OH 43227
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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 36D2298216

Homeland Addiction Treatment Center LLC · Columbus, OH
Active · expires Jan 29, 2028
CLIA Number36D2298216
Laboratory TypeMedication-Assisted Trtmt
Certificate Effective DateJanuary 30, 2026
Certificate Expiration DateJanuary 29, 2028
Laboratory DirectorKingsley Enow
Laboratory Phone(614) 715-8216
Laboratory LocationHomeland Addiction Treatment Center LLC3505 E Livingston Ave, Suite G, Columbus, OH 43227
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 3

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

HOMELAND CLINIC
Clinic/Center (Rehabilitation, Substance Use Disorder)
3505 E LIVINGSTON AVE STE G
COLUMBUS, OH 43227
Franklin County (614) 715-8216
HOMELAND ADDICTION TREATMENT CENTER LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
3505 E LIVINGSTON AVE STE G
COLUMBUS, OH 43227
Franklin County (614) 632-1018
KINGSLEY EYONG ENOW NP
Nurse Practitioner (Psychiatric/Mental Health)
3505 E LIVINGSTON AVE STE G
COLUMBUS, OH 43227
Franklin County (614) 632-1018

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 Homeland Addiction Treatment Center LLC's NPI number?

The NPI number for Homeland Addiction Treatment Center LLC is 1083461123. It was assigned to this organization in the NPPES registry on May 6, 2024.

Where is Homeland Addiction Treatment Center LLC located?

Homeland Addiction Treatment Center LLC is located at 3505 E Livingston Ave Ste G, Columbus, OH 43227. The listed phone number is (614) 715-8216.

What is Homeland Addiction Treatment Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Does Homeland Addiction Treatment Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2298216) is associated with this NPI, valid through January 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Homeland Addiction Treatment Center LLC was last updated on May 6, 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.