SOUTHERN OHIO PREMIER RECOVERY, LLC
NPI 1427720275
Clinic/Center - Rehabilitation, Substance Use Disorder in Mcdermott, OH

NPI Status: Active since September 30, 2021

Contact Information

6431 STATE ROUTE 104
MCDERMOTT, OH
ZIP 45652
Phone: (740) 981-6987

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • Accepts Insurance

About SOUTHERN OHIO PREMIER RECOVERY, LLC

This page provides the complete NPI Profile along with additional information for Southern Ohio Premier Recovery, Llc, a provider established in Mcdermott, Ohio operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1427720275 assigned on September 2021. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mrs. Faith Ann Bivens (Owner)

NPI
1427720275
Provider Name
SOUTHERN OHIO PREMIER RECOVERY, LLC
Entity Type
Organization
Location Address
6431 STATE ROUTE 104 MCDERMOTT, OH 45652
Location Phone
(740) 981-6987
Mailing Address
6587 STATE ROUTE 104 MC DERMOTT, OH 45652
Mailing Phone
(740) 981-6987
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-30-2021
Last Update Date
03-08-2024
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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
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - 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
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - 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

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. FAITH ANN BIVENS

Authorized Official Title
OWNER
Authorized Official Phone
(740) 981-6987

Reviews for SOUTHERN OHIO PREMIER RECOVERY, LLC

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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.
1427720275
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24471420214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 1 + 4 + 2 + 0 + 2 + 1 + 4 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1427720275 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

THI OF OHIO AT WOODLAND LLC

Skilled Nursing Facility

6431 STATE ROUTE 104
MCDERMOTT, OH
ZIP 45652

(740) 858-6641

MATTHEW CHAPPELEAR CMS

Case Manager/Care Coordinator

6431 STATE ROUTE 104
MC DERMOTT, OH
ZIP 45652

(740) 876-8627

GOBLE ONEAL HAMMONDS

Case Manager/Care Coordinator

6431 STATE ROUTE 104
MC DERMOTT, OH
ZIP 45652

(740) 876-8627

SOUTHERN OHIO PREMIER RECOVERY, LLC

Substance Abuse Rehabilitation Facility

6431 STATE ROUTE 104
MCDERMOTT, OH
ZIP 45652

(740) 981-6987

JUSTIN LAWRENCE BLACKBURN CDCA

Counselor

(Addiction (Substance Use Disorder))

6431 STATE ROUTE 104
MC DERMOTT, OH
ZIP 45652

(740) 981-6987

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427720275, enumerated as an "organization" on September 30, 2021.

The provider is located at 6431 STATE ROUTE 104 MCDERMOTT, OH 45652 and the phone number is (740) 981-6987.

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 and Molina. Please consult your insurance carrier or call the provider to verify.