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BELLEFAIRE JCB
NPI 1376802249
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Elyria, OH

Active since May 11, 2012
347 MIDWAY BLVD, ELYRIA, OH 44035(440) 324-5701(440) 324-9978 Get Directions Write a Review

NPPES record last updated: May 17, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bellefaire Jcb NPPES

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

BELLEFAIRE JCB (NPI 1376802249) is a healthcare organization registered as a substance abuse treatment, children in Elyria, Ohio and active in the NPI registry since May 2012. The organization lists Thomas J Browne, Cfo, as its authorized official.

NPPES Registry Identity

NPI1376802249
Entity TypeOrganization
Primary Taxonomy3245S0500X
Legal Business NameBELLEFAIRE JCB
Location Address347 MIDWAY BLVDElyria, OH 44035-9006
Mailing Address347 Midway BlvdElyria, OH 44035-9006 · (440) 324-5701 · Fax (440) 324-9978
Phone(440) 324-5701
Fax(440) 324-9978
Organization SubpartYesParent: Wingspan Care Group
Authorized OfficialThomas J BrowneCfo · (216) 320-8221
Enumeration DateMay 11, 2012
Last NPPES UpdateMay 17, 2012
✔ NPI 1376802249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities
Taxonomy Code3245S0500X
License✔ Licensed in OH · 0009
Definition
A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X · License 0009 (OH)
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X · License 0009 (OH)
347 MIDWAY BLVD, Elyria, OH 44035
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Other Identifiers 2

Medicaid02477OH
Medicaid10415OH

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.

SIARRA FRYE MSW
Case Manager/Care Coordinator
347 MIDWAY BLVD
ELYRIA, OH 44035
Lorain County (440) 324-5555
KIMBERLY ANN MCCARTHY
Case Manager/Care Coordinator
347 MIDWAY BLVD
ELYRIA, OH 44035
Lorain County (440) 324-5555
SHARAH ALGOOD
Case Manager/Care Coordinator
347 MIDWAY BLVD
ELYRIA, OH 44035
Lorain County (440) 324-5555
PAUL SMITH
Case Manager/Care Coordinator
347 MIDWAY BLVD
ELYRIA, OH 44035
Lorain County (440) 324-5555
MRS. KATHERINE A MISTERKA MSSA, LISW-S
Social Worker (Clinical)
347 MIDWAY BLVD, SUITE 200
ELYRIA, OH 44035
Lorain County (440) 723-5494
LINDSEY DIANE KNOEPP LSW
Social Worker
347 MIDWAY BLVD
ELYRIA, OH 44035
Lorain County (440) 324-5701
COLLEEN F MARTIN-TELFER LSW
Social Worker (Clinical)
347 MIDWAY BLVD, SUITE 204
ELYRIA, OH 44035
Lorain County (440) 324-4980
SARAH L LOHMAN LISW
Social Worker (Clinical)
347 MIDWAY BLVD, SUITE 204
ELYRIA, OH 44035
Lorain County (440) 324-4980

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 Bellefaire Jcb's NPI number?

The NPI number for Bellefaire Jcb is 1376802249. It was assigned to this organization in the NPPES registry on May 11, 2012.

Where is Bellefaire Jcb located?

Bellefaire Jcb is located at 347 Midway Blvd, Elyria, OH 44035. The listed phone number is (440) 324-5701.

What is Bellefaire Jcb's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

When was this NPI record last updated?

The NPPES record for Bellefaire Jcb was last updated on May 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.