FORTALEZA,LLC
NPI 1386151645
Clinic/Center - Mental Health (Including Community Mental Health Center) in Elyria, OH

NPI Status: Active since January 08, 2018

Contact Information

41641 N RIDGE RD
ELYRIA, OH
ZIP 44035
Phone: (440) 324-7406

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...
  • Accepts Insurance

About FORTALEZA,LLC

This page provides the complete NPI Profile along with additional information for Fortaleza,llc, a provider established in Elyria, Ohio operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1386151645 assigned on January 2018. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Anthony Villa (Ceo)

NPI
1386151645
Provider Name
FORTALEZA,LLC
Entity Type
Organization
Location Address
41641 N RIDGE RD ELYRIA, OH 44035
Location Phone
(440) 324-7406
Mailing Address
41641 N RIDGE RD ELYRIA, OH 44035
Mailing Phone
(440) 324-7406
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-08-2018
Last Update Date
12-02-2021
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Location Map

Secondary Locations

  • 2301 Scranton Rd
    Cleveland, OH 44113
    (440) 324-7406

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Bronze 10 - HMO
  • Bronze 8 - HMO
  • Bronze 9 - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with first 4 free PCP or MH visits - HMO
  • Silver 8 - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANTHONY VILLA

Authorized Official Title
CEO
Authorized Official Phone
(440) 324-7406

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0123307MEDICAID (05)OH 
0284736MEDICAID (05)OH 

Reviews for FORTALEZA,LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1386151645
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2316625268
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 6 + 6 + 2 + 5 + 2 + 6 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1386151645 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003187477MRS. LAURA MARIE WALTS M.A., LPC
Individual
Counselor (Professional)41641 N RIDGE RD SUITE B
ELYRIA, OH 44035
(440) 213-1166
1851659692GUIDESTONE
Organization
Community/Behavioral Health41641 N RIDGE RD
ELYRIA, OH 44035
(216) 401-2568
1770842312MRS. JULIE MICHELSON PCC
Individual
Counselor (Mental Health)41641 N RIDGE RD
ELYRIA, OH 44035
(216) 401-2568
1366824435 ALFREDO BUCIO
Individual
Counselor (Addiction (Substance Use Disorder))41641 N RIDGE RD
ELYRIA, OH 44035
(440) 324-7406
1477935435 STEVEN MARKS BSCJ,CDCA
Individual
Counselor (Addiction (Substance Use Disorder))41641 N RIDGE RD SUITE B
ELYRIA, OH 44035
(440) 324-7406
1740716356 KATHLEEN HANS L.P.N.
Individual
Licensed Practical Nurse41641 N RIDGE RD
ELYRIA, OH 44035
(440) 324-7406
1356877898 LINDA SEXTON BA, CDCA
Individual
Counselor (Addiction (Substance Use Disorder))41641 N RIDGE RD SUITE B.
ELYRIA, OH 44035
(440) 324-7406
1881968139OHIOGUIDESTONE
Organization
Case Management41641 N RIDGE RD
ELYRIA, OH 44035
(440) 260-6108
1326463720FORTALEZA,LLC
Organization
Clinic/Center (Rehabilitation, Substance Use Disorder)41641 N RIDGE RD SUITE B
ELYRIA, OH 44035
(440) 324-7406
1649788290 MYESHA CROWE LSW
Individual
Counselor (Addiction (Substance Use Disorder))41641 N RIDGE RD
ELYRIA, OH 44035
(440) 324-7406
1629573001MS. LESLIE ELIZABETH SHEPHARD LSW
Individual
Counselor (Addiction (Substance Use Disorder))41641 N RIDGE RD
ELYRIA, OH 44035
(440) 324-7406
1225598972 LISA MAE JUSTUS REGISTERED NURSE
Individual
Registered Nurse (Addiction (Substance Use Disorder))41641 N RIDGE RD
ELYRIA, OH 44035
(440) 324-7406
1922655935 CARMITA MAYFIELD LPN
Individual
Licensed Practical Nurse41641 N RIDGE RD
ELYRIA, OH 44035
(440) 324-7406
1609458033 DANIELLE BAUMANN LSW
Individual
Counselor (Addiction (Substance Use Disorder))41641 N RIDGE RD
ELYRIA, OH 44035
(440) 324-7406
1740850452 DANIELLE BRAGG LPN
Individual
Licensed Practical Nurse41641 N RIDGE RD
ELYRIA, OH 44035
(440) 324-7406
1689331274 BROOK RIVERA
Individual
Technician, Health Information41641 N RIDGE RD
ELYRIA, OH 44035
(440) 324-7406
1134850399MS. JENNIFER LYNN COFFEY CDCA
Individual
Counselor (Addiction (Substance Use Disorder))41641 N RIDGE RD
ELYRIA, OH 44035
(440) 324-7406
1679204028 RAFAEL ANTONIO FIGUEROA
Individual
Behavior Technician41641 N RIDGE RD
ELYRIA, OH 44035
(440) 324-7406
1609501865 SARAH LYNN GEORGE
Individual
Behavior Technician41641 N RIDGE RD
ELYRIA, OH 44035
(440) 324-7406
1114475258 JANE BRAGG-BARNES CDCA
Individual
Counselor (Addiction (Substance Use Disorder))41641 N RIDGE RD
ELYRIA, OH 44035
(440) 324-7406

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386151645, enumerated in the NPI registry as an "organization" on January 08, 2018

The provider is located at 41641 N Ridge Rd Elyria, Oh 44035 and the phone number is (440) 324-7406

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Molina. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 08, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.