FORTALEZA,LLC
NPI 1326463720
Clinic/Center - Rehabilitation, Substance Use Disorder in Elyria, OH
NPI Status: Active since February 22, 2014
Contact Information
41641 N RIDGE RD
SUITE B
ELYRIA, OH
ZIP 44035
Phone: (440) 324-7406
Fax: (440) 324-7406
- Organization
- Clinic/Center
- Rehabilitation, Substance Use Disorder
- Accepts Insurance
- CLIA Number: 36D2060422
- CLIA Cert. Type: Other - OUTPT BEHAVIORAL HEALTH
- CLIA Exp. Date: 06-10-2025
About FORTALEZA,LLC
This page provides the complete NPI Profile along with additional information for Fortaleza,llc, a provider established in Elyria, Ohio operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1326463720 assigned on February 2014. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Mr. Anthony Villa (Ceo)
- NPI
- 1326463720
- Provider Name
- FORTALEZA,LLC
- Entity Type
- Organization
- Location Address
- 41641 N RIDGE RD SUITE B ELYRIA, OH 44035
- Location Phone
- (440) 324-7406
- Location Fax
- (440) 324-7406
- Mailing Address
- 41641 N RIDGE RD SUITE B ELYRIA, OH 44035
- Mailing Phone
- (440) 324-7406
- Mailing Fax
- (440) 324-7406
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-22-2014
- Last Update Date
- 09-21-2017
- 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
Clinic/Center Rehabilitation, Substance Use Disorder
- Taxonomy Code
- 261QR0405X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Anthem Bronze Pathway HMO 7450 for HSA - HMO
- Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Catastrophic Pathway HMO 9200 - HMO
- Anthem Gold Pathway HMO 1500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Silver Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 5000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- Bronze 10 - HMO
- Bronze 8 - HMO
- Bronze 9 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
- Bronze Classic 4700 (Select) - HMO
- Bronze Classic PCP Saver (Select) - HMO
- Bronze Classic Standard (Select) - HMO
- Gold Classic (Select) - HMO
- Gold Classic Standard (Select) - HMO
- Gold Elite Saver Plus (Select) - HMO
- Secure (Select) - HMO
- Silver Classic Standard (Select) - HMO
- Silver Elite Saver Plus (Select) - HMO
- Silver Simple Chronic Care CKM (Select) - HMO
- Bronze Classic PCP Saver - HMO
- Bronze Classic Standard - HMO
- Bronze Simple HSA - HMO
- Gold Classic Standard - HMO
- Gold Elite - HMO
- Gold Elite Saver Plus - HMO
- Secure - HMO
- Silver Classic Standard - HMO
- Silver Elite Saver Plus - HMO
- Silver Simple Chronic Care CKM - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 36D2060422
- Facility Type
- Other - OUTPT BEHAVIORAL HEALTH
- Certificate Effective Date
- June 11, 2023
- Certificate Expiration Date
- June 10, 2025
- Laboratory Director
- ZIA KHAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Fortaleza,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.
Reviews for FORTALEZA,LLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 2 | 6 | 4 | 6 | 3 | 7 | 2 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 4 | 6 | 8 | 6 | 6 | 7 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 4 + 6 + 8 + 6 + 6 + 7 + 4 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1326463720 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
GUIDESTONE
Community/Behavioral Health
41641 N RIDGE RD
ELYRIA, OH
ZIP 44035
MRS. JULIE MICHELSON PCC
Counselor
(Mental Health)
41641 N RIDGE RD
ELYRIA, OH
ZIP 44035
ALFREDO BUCIO
Counselor
(Addiction (Substance Use Disorder))
41641 N RIDGE RD
ELYRIA, OH
ZIP 44035
STEVEN MARKS BSCJ,CDCA
Counselor
(Addiction (Substance Use Disorder))
41641 N RIDGE RD
SUITE B
ELYRIA, OH
ZIP 44035
KATHLEEN HANS L.P.N.
Licensed Practical Nurse
41641 N RIDGE RD
ELYRIA, OH
ZIP 44035
LINDA SEXTON BA, CDCA
Counselor
(Addiction (Substance Use Disorder))
41641 N RIDGE RD
SUITE B.
ELYRIA, OH
ZIP 44035
OHIOGUIDESTONE
Case Management
41641 N RIDGE RD
ELYRIA, OH
ZIP 44035
MYESHA CROWE LSW
Counselor
(Addiction (Substance Use Disorder))
41641 N RIDGE RD
ELYRIA, OH
ZIP 44035
MS. LESLIE ELIZABETH SHEPHARD LSW
Counselor
(Addiction (Substance Use Disorder))
41641 N RIDGE RD
ELYRIA, OH
ZIP 44035
LISA MAE JUSTUS REGISTERED NURSE
Registered Nurse
(Addiction (Substance Use Disorder))
41641 N RIDGE RD
ELYRIA, OH
ZIP 44035
CARMITA MAYFIELD LPN
Licensed Practical Nurse
41641 N RIDGE RD
ELYRIA, OH
ZIP 44035
DANIELLE BAUMANN LSW
Counselor
(Addiction (Substance Use Disorder))
41641 N RIDGE RD
ELYRIA, OH
ZIP 44035
DANIELLE BRAGG LPN
Licensed Practical Nurse
41641 N RIDGE RD
ELYRIA, OH
ZIP 44035
BROOK RIVERA
Technician, Health Information
41641 N RIDGE RD
ELYRIA, OH
ZIP 44035
FORTALEZA,LLC
Clinic/Center
(Mental Health (Including Community Mental Health Center))
41641 N RIDGE RD
ELYRIA, OH
ZIP 44035
MS. JENNIFER LYNN COFFEY CDCA
Counselor
(Addiction (Substance Use Disorder))
41641 N RIDGE RD
ELYRIA, OH
ZIP 44035
RAFAEL ANTONIO FIGUEROA
Behavior Technician
41641 N RIDGE RD
ELYRIA, OH
ZIP 44035
SARAH LYNN GEORGE
Behavior Technician
41641 N RIDGE RD
ELYRIA, OH
ZIP 44035
JANE BRAGG-BARNES CDCA
Counselor
(Addiction (Substance Use Disorder))
41641 N RIDGE RD
ELYRIA, OH
ZIP 44035
DAMIAN CALVERT
Case Manager/Care Coordinator
41641 N RIDGE RD
ELYRIA, OH
ZIP 44035
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1326463720, enumerated as an "organization" on February 22, 2014.
The provider is located at 41641 N RIDGE RD SUITE B ELYRIA, OH 44035 and the phone number is (440) 324-7406.
Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.
The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Anthem. Please consult your insurance carrier or call the provider to verify.
