LEGEND TREATMENT CENTER OF CLEVELAND, LLC
NPI 1477342962
Community/Behavioral Health in Cleveland, OH

NPI Status: Active since May 02, 2025

Contact Information

14445 BROADWAY AVE
CLEVELAND, OH
ZIP 44125
Phone: (216) 677-8177

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  • Organization
  • Community/Behavioral Health

About LEGEND TREATMENT CENTER OF CLEVELAND, LLC

This page provides the complete NPI Profile along with additional information for Legend Treatment Center Of Cleveland, Llc, a provider established in Cleveland, Ohio operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1477342962 assigned on May 2025. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated May 2025. The authorized official of this NPI record is Joshua Koenig (Coo)

NPI
1477342962
Provider Name
LEGEND TREATMENT CENTER OF CLEVELAND, LLC
Entity Type
Organization
Location Address
14445 BROADWAY AVE CLEVELAND, OH 44125
Location Phone
(216) 677-8177
Mailing Address
95 MAIN AVE STE 121 CLIFTON, NJ 07014
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-02-2025
Last Update Date
05-02-2025
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
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.

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)
1261QM0801XAmbulatory Health Care Facilities

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

 

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

JOSHUA KOENIG

Authorized Official Title
COO
Authorized Official Phone
(216) 677-8177

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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.
1477342962
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24147644912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 4 + 7 + 6 + 4 + 4 + 9 + 1 + 2 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1477342962 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1720714561LEGEND TREATMENT CENTER OF CLEVELAND, LLC
Organization
Substance Abuse Rehabilitation Facility14445 BROADWAY AVE
CLEVELAND, OH 44125
(844) 534-3638
1376249490 STACEY R HERRADA CDCA
Individual
Counselor (Addiction (Substance Use Disorder))14445 BROADWAY AVE
CLEVELAND, OH 44125
(443) 542-7765
1366173544 JEREMIAH BERDIEL PEER SUPPORTER
Individual
Peer Specialist14445 BROADWAY AVE
CLEVELAND, OH 44125
(216) 677-8177
1932770526 HANNAH MATHIES LICDC, LPC
Individual
Counselor (Addiction (Substance Use Disorder))14445 BROADWAY AVE
CLEVELAND, OH 44125
(216) 677-8177
1407653538MR. ARTHUR GARY NOGLAK PRS
Individual
Peer Specialist14445 BROADWAY AVE
CLEVELAND, OH 44125
(216) 677-8177
1710684410 ASHLIE BARNES CDCA, PRS
Individual
Counselor (Addiction (Substance Use Disorder))14445 BROADWAY AVE
CLEVELAND, OH 44125
(216) 677-8177
1477373587MR. KEITH SUDBERRY CDCA
Individual
Counselor (Addiction (Substance Use Disorder))14445 BROADWAY AVE
CLEVELAND, OH 44125
(216) 677-8177
1063219186MR. KENNETH WARD DABNEY III
Individual
Peer Specialist14445 BROADWAY AVE
CLEVELAND, OH 44125
(216) 677-8177
1184412041 JOSEPH R GALLAGHER PRS
Individual
Peer Specialist14445 BROADWAY AVE
CLEVELAND, OH 44125
(513) 835-2858

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477342962, enumerated in the NPI registry as an "organization" on May 02, 2025

The provider is located at 14445 Broadway Ave Cleveland, Oh 44125 and the phone number is (216) 677-8177

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

This NPI record was last updated on May 02, 2025. 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.