OHIO DETOX CENTER, LLC
NPI 1356903058
Substance Abuse Rehabilitation Facility in Maumee, OH

Q: What is Midwest Detox Center LLC's NPI number?

The NPI number for Midwest Detox Center LLC is 1356903058. It was assigned to this organization in the NPPES registry on July 2, 2019. The provider is doing business as Ohio Detox Center, LLC.

Q: What is Midwest Detox Center LLC's specialty?

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

Active since July 02, 2019

1757 INDIAN WOOD CIR, MAUMEE, OH 43537(833) 440-8642 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 5, 2024, Nov 17, 2023, Apr 22, 2021 and 2 more (5 updates tracked since 2019).

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About Ohio Detox Center, Llc NPPES

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

OHIO DETOX CENTER, LLC (NPI 1356903058) is a healthcare organization registered as a substance abuse rehabilitation facility in Maumee, Ohio and active in the NPI registry since July 2019. The organization maintains a secondary practice location in Maumee and lists Allison Heaberlin, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1356903058

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameMIDWEST DETOX CENTER LLC

Location Address1757 INDIAN WOOD CIRMaumee, OH 43537-4009

Mailing Address10461 Mill Run Cir Ste 810Owings Mills, MD 21117-5549

Phone(833) 440-8642

Organization SubpartYes

Authorized OfficialAllison HeaberlinCredentialing Specialist · (410) 415-3385

Enumeration DateJuly 2, 2019

Last NPPES UpdateJanuary 12, 20245 updates tracked since enumeration

NPPES CertifiedJanuary 12, 2024

✔ NPI 1356903058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

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.

1757 INDIAN WOOD CIR, Maumee, OH 43537

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Other Names 1

Doing Business AsOhio Detox Center, Llc

Secondary Practice Location 1

Location 11760 Manley Rd Bldg 1760Maumee, OH 43537-9400 · Phone (866) 688-6917 · Fax (419) 318-1603

Other Identifiers 1

Medicaid0281740OH

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.

ARIANNE M MOORE

Counselor (Addiction (Substance Use Disorder))