LEGENDS RECOVERY CENTER OF OHIO LLC
NPI 1740079243
Community/Behavioral Health in Green Springs, OH

Q: What is Legends Recovery Center Of Ohio LLC's NPI number?

The NPI number for Legends Recovery Center Of Ohio LLC is 1740079243. It was assigned to this organization in the NPPES registry on May 2, 2025.

Q: What is Legends Recovery Center Of Ohio LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since May 02, 2025CLIA 36D2277896 · Waiver

430 N BROADWAY ST, GREEN SPRINGS, OH 44836(419) 307-9128 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Legends Recovery Center Of Ohio Llc NPPES

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

LEGENDS RECOVERY CENTER OF OHIO LLC (NPI 1740079243) is a healthcare organization registered as a community/behavioral health in Green Springs, Ohio and active in the NPI registry since May 2025. The organization holds a CLIA Waiver certificate valid through March 6, 2027 and lists Joshua Koenig, Coo, as its authorized official.

NPPES Registry Identity

NPI1740079243

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameLEGENDS RECOVERY CENTER OF OHIO LLC

Location Address430 N BROADWAY STGreen Springs, OH 44836-9734

Mailing Address95 Main Ave Ste 121Clifton, NJ 07014-1757

Phone(419) 307-9128

Organization SubpartNo

Authorized OfficialJoshua KoenigCoo · (908) 627-7100

Enumeration DateMay 2, 2025

NPPES CertifiedMay 2, 2025

✔ NPI 1740079243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

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

430 N BROADWAY ST, Green Springs, OH 44836

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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 36D2277896

Legends Recovery Center Of Ohio, LLC · Green Springs, OH

Active · expires Mar 6, 2027

CLIA Number36D2277896

Laboratory TypePoc Point Of Care

Certificate Effective DateMarch 7, 2025

Certificate Expiration DateMarch 6, 2027

Laboratory DirectorNate Kehlmeier

Laboratory Phone(443) 542-7765

Laboratory LocationLegends Recovery Center Of Ohio, LLC401 N Broadway Street, Green Springs, OH 44836

CLIA data matches this NPI record on: 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.

JOSEPH J SUPINA IV CDCA, PRS

Counselor (Addiction (Substance Use Disorder))