PREMIER CARE OF OHIO, LLC
NPI 1144564071
Community/Behavioral Health in West Chester, OH
- Organization
- Community/Behavioral Health
- CLIA Number: 36D2055974
- CLIA Cert. Type: Other - OPIOID TRTMT PROGRAM
- CLIA Exp. Date: 03-19-2027
About PREMIER CARE OF OHIO, LLC
This page provides the complete NPI Profile along with additional information for Premier Care Of Ohio, Llc, a provider established in West Chester, Ohio operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1144564071 assigned on November 2012. The practitioner's primary taxonomy code is 251S00000X with license number 13361 (OH). The provider is registered as an organization and their NPI record was last updated 2 years ago. Premier Care Of Ohio, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Cindy Gaither (Vp Of Revenue Cycle)
- NPI
- 1144564071 Verify this NPI
- Provider Name
- PREMIER CARE OF OHIO, LLC
- Entity Type
- Organization
- Location Address
- 42 E. CRESCENTVILLE ROAD WEST CHESTER, OH 45246
- Location Phone
- (513) 671-7117
- Mailing Address
- 8444 N 90TH ST STE 100 SCOTTSDALE, AZ 85258
- Mailing Phone
- (480) 494-2497
- Mailing Fax
- (480) 687-7361
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-15-2012
- Last Update Date
- 02-09-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- License No.
- 13361
- License State
- OH
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | |
| 3 | 261QM2800X | Ambulatory Health Care Facilities | Clinic/Center | |
| 4 | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 36D2055974
- Facility Type
- Other - OPIOID TRTMT PROGRAM
- Certificate Effective Date
- March 20, 2025
- Certificate Expiration Date
- March 19, 2027
- Laboratory Director
- JUSTIN M. ABEYTA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Premier Care Of Ohio, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
CINCINNATI, OH 45246
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144564071, enumerated as an "organization" on November 15, 2012.
The provider is located at 42 E. CRESCENTVILLE ROAD WEST CHESTER, OH 45246 and the phone number is (513) 671-7117.
Community/Behavioral Health with taxonomy code 251S00000X.
