SEACREST RECOVERY CENTER OHIO, LLC
NPI 1780243394
Substance Abuse Rehabilitation Facility in Columbus, OH

Active since June 07, 2019CLIA 36D2177218 · Waiver
6555 BUSCH BLVD, COLUMBUS, OH 43229(561) 990-2620(866) 856-2122 Get Directions Write a Review

NPPES record last updated: February 26, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 26, 2020, Jun 7, 2019 (2 updates tracked since 2019).

About Seacrest Recovery Center Ohio, Llc NPPES

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

SEACREST RECOVERY CENTER OHIO, LLC (NPI 1780243394) is a healthcare organization registered as a substance abuse rehabilitation facility in Columbus, Ohio and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through January 6, 2028 and lists Josh Fenster, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1780243394
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSEACREST RECOVERY CENTER OHIO, LLC
Location Address6555 BUSCH BLVDColumbus, OH 43229-1739
Mailing Address6555 Busch BlvdColumbus, OH 43229-1739 · (561) 990-2620 · Fax (866) 856-2122
Fax(866) 856-2122
Organization SubpartNo
Authorized OfficialJosh FensterCeo/owner · (954) 304-4928
Enumeration DateJune 7, 2019
Last NPPES UpdateFebruary 26, 20202 updates tracked since enumeration
NPI 1780243394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X
6555 BUSCH BLVD, Columbus, OH 43229

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

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 36D2177218

Seacrest Recovery Center, LLC · Columbus, OH
Active · expires Jan 6, 2028
CLIA Number36D2177218
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateJanuary 7, 2026
Certificate Expiration DateJanuary 6, 2028
Laboratory DirectorElijah B. Wilder
Laboratory Phone(614) 657-3246
Laboratory LocationSeacrest Recovery Center, LLC6555 Busch Blvd Ste 100, Columbus, OH 43229
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

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

Social Worker (Clinical)
6555 BUSCH BLVD
COLUMBUS, OH 43229

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 Ohio, LLC's NPI number?

The NPI number for Seacrest Recovery Center Ohio, LLC is 1780243394. It was assigned to this organization in the NPPES registry on June 7, 2019.

Where is Seacrest Recovery Center Ohio, LLC located?

Seacrest Recovery Center Ohio, LLC is located at 6555 Busch Blvd, Columbus, OH 43229. The listed phone number is (561) 990-2620.

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

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

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

Yes. A Certificate of Waiver (number 36D2177218) is associated with this NPI, valid through January 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Seacrest Recovery Center Ohio, LLC accept?

Health plans from MedMutual list Seacrest Recovery Center Ohio, 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 Ohio, LLC was last updated on February 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.