REVITALIZED BEHAVIORAL HEALTHCARE, LLC - NPI 1104453117 - Community/Behavioral Health in Toledo, OH

Q: What is Revitalized Behavioral Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

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About Revitalized Behavioral Healthcare, Llc NPPES

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

REVITALIZED BEHAVIORAL HEALTHCARE, LLC (NPI 1104453117) is a healthcare organization registered as a community/behavioral health in Toledo, Ohio and active in the NPI registry since March 2020. The organization lists Samantha Nance, Owner, as its authorized official.

NPPES Registry Identity

NPI1104453117

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameREVITALIZED BEHAVIORAL HEALTHCARE, LLC

Location Address5577 AIRPORT HWY STE 102Toledo, OH 43615-7364

Mailing Address313 Jefferson AveToledo, OH 43604-1004 · (419) 214-1770 · Fax (419) 214-0922

Phone(419) 214-1770

Organization SubpartNo

Authorized OfficialSamantha NanceOwner · (419) 346-5554

Enumeration DateMarch 27, 2020

Last NPPES UpdateFebruary 7, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 7, 2026

✔ NPI 1104453117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

5577 AIRPORT HWY STE 102, Toledo, OH 43615

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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.

RAQUELL KELLEY

Case Manager/Care Coordinator