CMS CLEVELAND ON BROOKPARK
NPI 1730870163
Clinic/Center - Methadone in Cleveland, OH

Q: What is Premier Care Of Ohio, LLC's NPI number?

The NPI number for Premier Care Of Ohio, LLC is 1730870163. It was assigned to this organization in the NPPES registry on May 17, 2023. The provider is doing business as Cms Cleveland On Brookpark.

Q: What is Premier Care Of Ohio, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Active since May 17, 2023

6300 BROOKPARK RD, CLEVELAND, OH 44129(440) 672-6955(216) 331-1175 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 9, 2024, May 17, 2023 (2 updates tracked since 2023).

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About Cms Cleveland On Brookpark NPPES

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

CMS CLEVELAND ON BROOKPARK (NPI 1730870163) is a healthcare organization registered as a methadone in Cleveland, Ohio and active in the NPI registry since May 2023. The organization lists Alex G Vilchis, Credentialing Provider Data Manager, as its authorized official.

NPPES Registry Identity

NPI1730870163

Entity TypeOrganization

Primary Taxonomy261QM2800X

Legal Business NamePREMIER CARE OF OHIO, LLC

Location Address6300 BROOKPARK RDCleveland, OH 44129-1219

Mailing Address8444 N 90th St Ste 100Scottsdale, AZ 85258-4437 · (804) 942-4974 · Fax (480) 687-7361

Phone(440) 672-6955

Fax(216) 331-1175

Organization SubpartNo

Authorized OfficialAlex G VilchisCredentialing Provider Data Manager · (602) 248-8886

Enumeration DateMay 17, 2023

Last NPPES UpdateMay 30, 20242 updates tracked since enumeration

NPPES CertifiedMay 30, 2024

✔ NPI 1730870163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities

Taxonomy Code261QM2800X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X

6300 BROOKPARK RD, Cleveland, OH 44129

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Other Names 1

Doing Business AsCms Cleveland On Brookpark

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

Other Providers at the Same Location NPPES 9

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

MRS. STACY G PAGAN CDCA

Counselor (Addiction (Substance Use Disorder))