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LEGEND TREATMENT CENTER OF CLEVELAND, LLC
NPI 1720714561
Substance Abuse Rehabilitation Facility in Cleveland, OH

Active since July 25, 2022CLIA 36D2277905 · Waiver
14445 BROADWAY AVE, CLEVELAND, OH 44125(844) 534-3638 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Legend Treatment Center Of Cleveland, Llc NPPES

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

LEGEND TREATMENT CENTER OF CLEVELAND, LLC (NPI 1720714561) is a healthcare organization registered as a substance abuse rehabilitation facility in Cleveland, Ohio and active in the NPI registry since July 2022. The organization holds a CLIA Waiver certificate valid through March 6, 2027 and lists Eva I Dudek, Chief Compliance/project Officer, as its authorized official.

NPPES Registry Identity

NPI1720714561
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameLEGEND TREATMENT CENTER OF CLEVELAND, LLC
Location Address14445 BROADWAY AVECleveland, OH 44125-1957
Mailing Address95 Main Ave Ste 121Clifton, NJ 07014-1757 · (844) 534-3638
Phone(844) 534-3638
Organization SubpartNo
Authorized OfficialEva I DudekChief Compliance/project Officer · (561) 301-9423
Enumeration DateJuly 25, 2022
NPPES CertifiedJuly 25, 2022
✔ NPI 1720714561 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.
14445 BROADWAY AVE, Cleveland, OH 44125
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 36D2277905

Legends Treatment Center Of Cleveland · Maple Heights, OH
Active · expires Mar 6, 2027
CLIA Number36D2277905
Laboratory TypePoc Point Of Care
Certificate Effective DateMarch 7, 2025
Certificate Expiration DateMarch 6, 2027
Laboratory DirectorNathaniel Kehlmeier
Laboratory Phone(844) 534-3638
Laboratory LocationLegends Treatment Center Of Cleveland14445 Broadway Ave, Maple Heights, OH 44137
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. KENNETH WARD DABNEY III
Case Manager/Care Coordinator
14445 BROADWAY AVE
CLEVELAND, OH 44125
Cuyahoga County (216) 677-8177
JOSEPH R GALLAGHER PRS
Peer Specialist
14445 BROADWAY AVE
CLEVELAND, OH 44125
Cuyahoga County (513) 835-2858
JEREMIAH BERDIEL PEER SUPPORTER
Peer Specialist
14445 BROADWAY AVE
CLEVELAND, OH 44125
Cuyahoga County (216) 677-8177
STACEY R HERRADA CDCA
Counselor (Addiction (Substance Use Disorder))
14445 BROADWAY AVE
CLEVELAND, OH 44125
Cuyahoga County (443) 542-7765
MR. ARTHUR GARY NOGLAK PRS
Peer Specialist
14445 BROADWAY AVE
CLEVELAND, OH 44125
Cuyahoga County (216) 677-8177
TASHEKA WASHINGTON
Counselor (Addiction (Substance Use Disorder))
14445 BROADWAY AVE
CLEVELAND, OH 44125
Cuyahoga County (216) 450-6799
LEGEND TREATMENT CENTER OF CLEVELAND, LLC
Community/Behavioral Health
14445 BROADWAY AVE
CLEVELAND, OH 44125
Cuyahoga County (216) 677-8177
MR. KEITH SUDBERRY CDCA
Counselor (Addiction (Substance Use Disorder))
14445 BROADWAY AVE
CLEVELAND, OH 44125
Cuyahoga County (216) 677-8177

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 Legend Treatment Center Of Cleveland, LLC's NPI number?

The NPI number for Legend Treatment Center Of Cleveland, LLC is 1720714561. It was assigned to this organization in the NPPES registry on July 25, 2022.

Where is Legend Treatment Center Of Cleveland, LLC located?

Legend Treatment Center Of Cleveland, LLC is located at 14445 Broadway Ave, Cleveland, OH 44125. The listed phone number is (844) 534-3638.

What is Legend Treatment Center Of Cleveland, LLC's specialty?

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

Does Legend Treatment Center Of Cleveland, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2277905) is associated with this NPI, valid through March 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Legend Treatment Center Of Cleveland, LLC accept?

Health plans from MedMutual and Molina Healthcare list Legend Treatment Center Of Cleveland, 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 Legend Treatment Center Of Cleveland, LLC was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.