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TIMITHY DEMICH CDCA
NPI 1396231544
Substance Abuse Rehabilitation Facility in Warren, OH

Active since July 10, 2018
4930 ENTERPRISE DR NW, WARREN, OH 44481(330) 787-0955 Get Directions Write a Review

NPPES record last updated: July 10, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Timithy Demich Cdca NPPES

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

TIMITHY DEMICH CDCA (NPI 1396231544) is an individual substance abuse rehabilitation facility provider in Warren, Ohio, licensed in Ohio (167731) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1396231544
Entity TypeIndividualMale
Primary Taxonomy324500000X
Provider Legal NameTIMITHY DEMICHCredential: CDCA
Location Address4930 ENTERPRISE DR NWWarren, OH 44481-8706
Mailing Address4930 Enterprise Dr NwWarren, OH 44481-8706 · (330) 787-0955
Phone(330) 787-0955
Sole ProprietorYes
Enumeration DateJuly 10, 2018
✔ NPI 1396231544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in OH · 167731
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.
4930 ENTERPRISE DR NW, Warren, OH 44481
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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.

CRYSTAL GRIFFIN LPN
Licensed Practical Nurse
4930 ENTERPRISE DR NW
WARREN, OH 44481
Trumbull County (330) 787-0955
CHARITEY RIGGS CDCA
Substance Abuse Rehabilitation Facility
4930 ENTERPRISE DR NW
WARREN, OH 44481
Trumbull County (330) 787-0955
ANNA LYNCH CDCA
Substance Abuse Rehabilitation Facility
4930 ENTERPRISE DR NW
WARREN, OH 44481
Trumbull County (330) 787-0955
JEANNETTE SINGLETON LICDC
Social Worker
4930 ENTERPRISE DR NW
WARREN, OH 44481
Trumbull County (330) 369-8022
DANA PUGH
Licensed Practical Nurse
4930 ENTERPRISE DR NW
WARREN, OH 44481
Trumbull County (330) 369-8022
DALTON KINDER CDCA
Substance Abuse Rehabilitation Facility
4930 ENTERPRISE DR NW
WARREN, OH 44481
Trumbull County (330) 787-0955
TASHI JOHNSON
Counselor (Addiction (Substance Use Disorder))
4930 ENTERPRISE DR NW
WARREN, OH 44481
Trumbull County (330) 369-8022
DANIEL JAYSON LYDIC
Counselor (Addiction (Substance Use Disorder))
4930 ENTERPRISE DR NW
WARREN, OH 44481
Trumbull County (330) 369-8022

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 Timithy Demich's NPI number?

The NPI number for Timithy Demich is 1396231544. It was assigned to this individual provider in the NPPES registry on July 10, 2018.

Where is Timithy Demich located?

Timithy Demich practices at 4930 Enterprise Dr NW, Warren, OH 44481. The listed phone number is (330) 787-0955.

What is Timithy Demich's specialty?

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

When was this NPI record last updated?

The NPPES record for Timithy Demich was last updated on July 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.