1. Home
  2. Directory
  3. Ohio
  4. Warren
  5. Clinic Center
  6. NPI Profile

FSR OF PARKMAN LLC
NPI 1487168084
Clinic/Center - Rehabilitation, Substance Use Disorder in Warren, OH

Active since November 20, 2017CLIA 36D2142754 · Waiver
4930 ENTERPRISE DR NW, WARREN, OH 44481(330) 714-0938 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 3, 2025, Nov 20, 2017 (2 updates tracked since 2017).

About Fsr Of Parkman Llc NPPES

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

FSR OF PARKMAN LLC (NPI 1487168084) is a healthcare organization registered as a rehabilitation, substance use disorder in Warren, Ohio and active in the NPI registry since November 2017. The organization holds a CLIA Waiver certificate valid through January 17, 2028, maintains a secondary practice location in Warren, and lists Elizabeth Merritt, Compliance Director, as its authorized official.

NPPES Registry Identity

NPI1487168084
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameFSR OF PARKMAN LLC
Location Address4930 ENTERPRISE DR NWWarren, OH 44481-8706
Mailing Address4930 Enterprise Dr NwWarren, OH 44481-8706 · (330) 369-8022
Phone(330) 714-0938
Organization SubpartNo
Authorized OfficialElizabeth MerrittCompliance Director · (330) 369-8022
Enumeration DateNovember 20, 2017
Last NPPES UpdateSeptember 3, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
✔ NPI 1487168084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
4930 ENTERPRISE DR NW, Warren, OH 44481
Open in Google Maps ↗

Secondary Practice Location 1

Location 12507 Youngstown Rd SE Ste AWarren, OH 44484-4402 · Phone (330) 369-8022 ext. 136

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MedMutual, Molina Healthcare.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 36D2142754

Fsr Of Parkman, LLC · Warren, OH
Active · expires Jan 17, 2028
CLIA Number36D2142754
Laboratory TypeDetox Facility
Certificate Effective DateJanuary 18, 2026
Certificate Expiration DateJanuary 17, 2028
Laboratory DirectorZachary Veres
Laboratory Phone(330) 787-0955
Laboratory LocationFsr Of Parkman, LLC4930 Enterprise Drive, NW, Warren, OH 44481
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Fsr Of Parkman LLC's NPI number?

The NPI number for Fsr Of Parkman LLC is 1487168084. It was assigned to this organization in the NPPES registry on November 20, 2017.

Where is Fsr Of Parkman LLC located?

Fsr Of Parkman LLC is located at 4930 Enterprise Dr NW, Warren, OH 44481. The listed phone number is (330) 714-0938.

What is Fsr Of Parkman LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Fsr Of Parkman LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2142754) is associated with this NPI, valid through January 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fsr Of Parkman LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, MedMutual and Molina Healthcare list Fsr Of Parkman 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 Fsr Of Parkman LLC was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.