1. Home
  2. Directory
  3. Ohio
  4. Green Springs
  5. Substance Abuse Rehabilitation Facility
  6. NPI Profile

LEGENDS RECOVERY CENTER OF OHIO LLC
NPI 1942939764
Substance Abuse Rehabilitation Facility in Green Springs, OH

Active since June 07, 2022CLIA 36D2316867 · Waiver
430 N BROADWAY ST, GREEN SPRINGS, OH 44836(844) 534-3638 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 1942939764) is a healthcare organization registered as a substance abuse rehabilitation facility in Green Springs, Ohio and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through January 13, 2027 and lists Eva I Dudek, Chief Compliance/project Manager, as its authorized official.

NPPES Registry Identity

NPI1942939764
Entity TypeOrganization
Primary Taxonomy324500000X
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 · (844) 534-3638
Phone(844) 534-3638
Organization SubpartNo
Authorized OfficialEva I DudekChief Compliance/project Manager · (561) 301-9423
Enumeration DateJune 7, 2022
NPPES CertifiedJune 7, 2022
✔ NPI 1942939764 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.
430 N BROADWAY ST, Green Springs, OH 44836
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 36D2316867

Legends Recovery Center Of Defiance · Defiance, OH
Active · expires Jan 13, 2027
CLIA Number36D2316867
Laboratory TypePoc Testing
Certificate Effective DateJanuary 14, 2025
Certificate Expiration DateJanuary 13, 2027
Laboratory DirectorNathaniel J. Kehlmeier
Laboratory Phone(844) 534-3638
Laboratory LocationLegends Recovery Center Of Defiance395 Harding Street, Defiance, OH 43512
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 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))
430 N BROADWAY ST
GREEN SPRINGS, OH 44836
Seneca County (844) 534-3638
ELMWOOD HOME HEALTH & HOSPICE
Hospice, Inpatient
430 N BROADWAY ST
GREEN SPRINGS, OH 44836
Seneca County (419) 639-2581
ALYSSA LANE RN
Registered Nurse (Addiction (Substance Use Disorder))
430 N BROADWAY ST
GREEN SPRINGS, OH 44836
Seneca County (419) 307-9128
NANCY LEE ROMANS CDCA
Counselor (Addiction (Substance Use Disorder))
430 N BROADWAY ST
GREEN SPRINGS, OH 44836
Seneca County (419) 307-9128
JOSH LEVI TYREE CDCA, PRS
Counselor (Addiction (Substance Use Disorder))
430 N BROADWAY ST
GREEN SPRINGS, OH 44836
Seneca County (844) 354-3638
DARRYL KEITH LANIER JR.
Peer Specialist
430 N BROADWAY ST
GREEN SPRINGS, OH 44836
Seneca County (419) 307-9128
AMANDA MARIE FAY LPN
Licensed Practical Nurse
430 N BROADWAY ST
GREEN SPRINGS, OH 44836
Seneca County (419) 765-0008
TIANA RAEL OPP
Peer Specialist
430 N BROADWAY ST
GREEN SPRINGS, OH 44836
Seneca County (844) 534-3638

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 Legends Recovery Center Of Ohio LLC's NPI number?

The NPI number for Legends Recovery Center Of Ohio LLC is 1942939764. It was assigned to this organization in the NPPES registry on June 7, 2022.

Where is Legends Recovery Center Of Ohio LLC located?

Legends Recovery Center Of Ohio LLC is located at 430 N Broadway St, Green Springs, OH 44836. The listed phone number is (844) 534-3638.

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

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

Does Legends Recovery Center Of Ohio LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2316867) is associated with this NPI, valid through January 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Legends Recovery Center Of Ohio LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, MedMutual and Molina Healthcare list Legends Recovery Center Of 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 Legends Recovery Center Of Ohio LLC was last updated on June 7, 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.