SEACREST RECOVERY CENTER CINCINNATI, LLC
NPI 1427724475
Substance Abuse Rehabilitation Facility in Cincinnati, OH

Active since August 19, 2021CLIA 36D2251461 · Waiver
1 TRIANGLE PARK DR STE 100, CINCINNATI, OH 45246(561) 990-2620 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 6, 2024, Aug 19, 2021 (2 updates tracked since 2021).

About Seacrest Recovery Center Cincinnati, Llc NPPES

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

SEACREST RECOVERY CENTER CINCINNATI, LLC (NPI 1427724475) is a healthcare organization registered as a substance abuse rehabilitation facility in Cincinnati, Ohio and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through February 2, 2028 and lists Jared Pruzan, Owner, as its authorized official.

NPPES Registry Identity

NPI1427724475
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSEACREST RECOVERY CENTER CINCINNATI, LLC
Location Address1 TRIANGLE PARK DR STE 100Cincinnati, OH 45246-3423
Mailing Address5300 Atlantic Ave Ste 400Delray Beach, FL 33484-8141 · (954) 415-3608
Organization SubpartNo
Authorized OfficialJared PruzanOwner · (954) 415-3608
Enumeration DateAugust 19, 2021
Last NPPES UpdateJune 6, 20242 updates tracked since enumeration
NPPES CertifiedJune 6, 2024
NPI 1427724475 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.

1 TRIANGLE PARK DR STE 100, Cincinnati, OH 45246

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2251461

Seacrest Recovery Center Cincinnati, LLC · Cincinnati, OH
Active · expires Feb 2, 2028
CLIA Number36D2251461
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateFebruary 3, 2026
Certificate Expiration DateFebruary 2, 2028
Laboratory DirectorElijah B. Wilder
Laboratory Phone(614) 657-3246
Laboratory LocationSeacrest Recovery Center Cincinnati, LLC1 Triangle Park, Cincinnati, OH 45246
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Seacrest Recovery Center Cincinnati, LLC's NPI number?

The NPI number for Seacrest Recovery Center Cincinnati, LLC is 1427724475. It was assigned to this organization in the NPPES registry on August 19, 2021.

Where is Seacrest Recovery Center Cincinnati, LLC located?

Seacrest Recovery Center Cincinnati, LLC is located at 1 Triangle Park Dr Ste 100, Cincinnati, OH 45246. The listed phone number is (561) 990-2620.

What is Seacrest Recovery Center Cincinnati, LLC's specialty?

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

Does Seacrest Recovery Center Cincinnati, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2251461) is associated with this NPI, valid through February 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Seacrest Recovery Center Cincinnati, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and Molina Healthcare list Seacrest Recovery Center Cincinnati, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Seacrest Recovery Center Cincinnati, LLC was last updated on June 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.