THREE WATERS RECOVERY CENTER, LLC
NPI 1710426036
Clinic/Center - Health Service in Seaman, OH
NPI Status: Active since February 20, 2017
Contact Information
218 STERN RD
SEAMAN, OH
ZIP 45679
Phone: (513) 967-1460
Fax: (513) 456-2855
- Organization
- Clinic/Center
- Health Service
About THREE WATERS RECOVERY CENTER, LLC
This page provides the complete NPI Profile along with additional information for Three Waters Recovery Center, Llc, a provider established in Seaman, Ohio operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1710426036 assigned on February 2017. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Three Waters Recovery Center, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mrs. Melinda M Adams Ma. (Owner/ Director)
- NPI
- 1710426036
- Provider Name
- THREE WATERS RECOVERY CENTER, LLC
- Entity Type
- Organization
- Location Address
- 218 STERN RD SEAMAN, OH 45679
- Location Phone
- (513) 967-1460
- Location Fax
- (513) 456-2855
- Mailing Address
- 6722 STATE ROUTE 132 STE A GOSHEN, OH 45122
- Mailing Phone
- (513) 575-7879
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-20-2017
- Last Update Date
- 04-04-2022
- Code Navigator
Location Map
Secondary Locations
- 6722 State Route 132 Ste A
Goshen, OH 45122
(513) 575-7879
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 Health Service
- Taxonomy Code
- 261QH0100X
- 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) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
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.
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 |
|---|---|---|---|
| 0244638 | MEDICAID (05) | OH |
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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. | |||||||||
| 1 | 7 | 1 | 0 | 4 | 2 | 6 | 0 | 3 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 2 | 0 | 8 | 2 | 12 | 0 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 2 + 0 + 8 + 2 + 1 + 2 + 0 + 6 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1710426036 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1497735054 | PHILLIP L. SWEDBERG M.D. Individual | Family Medicine | 218 STERN RD SEAMAN, OH 45679 (937) 386-1379 |
| 1255381349 | EDWARD J BABEY DDS Individual | Dentist (General Practice) | 218 STERN RD SEAMAN, OH 45679 (937) 386-1379 |
| 1770533861 | GREGORY R VERDERBER DDS Individual | Dentist (General Practice) | 218 STERN RD SEAMAN, OH 45679 (937) 386-1379 |
| 1053336305 | BRADLEY M. FREY DMD Individual | Dentist | 218 STERN RD SEAMAN, OH 45679 (937) 386-1379 |
| 1568516706 | ERIN E SHUPERT PHARMD Individual | Pharmacist | 218 STERN RD SEAMAN, OH 45679 (937) 386-1350 |
| 1508486937 | CRAIG S CAMPBELL RPH Individual | Pharmacist | 218 STERN RD SEAMAN, OH 45679 (937) 386-1350 |
| 1457331381 | NICANOR P SAN NICOLAS MD Individual | Pediatrics | 218 STERN RD SEAMAN, OH 45679 (937) 386-1379 |
| 1326477910 | DR. ZACHARY ALBERT MOSS DDS Individual | Dentist | 218 STERN RD SEAMAN, OH 45679 (937) 386-1379 |
| 1023112224 | HEALTHSOURCE OF OHIO, INC. Organization | Clinic/Center (Primary Care) | 218 STERN RD SEAMAN, OH 45679 (937) 386-1379 |
| 1205864162 | HEALTHSOURCE OF OHIO, INC. Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 218 STERN RD SEAMAN, OH 45679 (937) 386-1379 |
| 1376612119 | HEALTHSOURCE OF OHIO INC Organization | Pharmacy | 218 STERN RD SEAMAN, OH 45679 (937) 386-0049 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710426036, enumerated in the NPI registry as an "organization" on February 20, 2017
The provider is located at 218 Stern Rd Seaman, Oh 45679 and the phone number is (513) 967-1460
This medical organization specializes in Clinic/Center with taxonomy code 261QH0100X with a focus in Health Service
The provider might be accepting Accepts: Medicare and Medicaid. 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 February 20, 2017. 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].
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