Cornell Abraxas Group, Llc
LBN: Cornell Abraxas Group, Llc
Cornell Abraxas Group, Llc is an health care organization with primary practice located at 2775 State Route 39 , Shelby OH 44875-9466. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Residential Treatment Facilities / Substance Abuse Treatment, Children. Residential Treatment Facilities / Substance Abuse Treatment, Children is the primary health care specialty.
Cornell Abraxas Group, Llc can be contacted via phone (419) 747-3322, or through Vogt, Julia via phone (419) 747-0881.
Contact Information
Primary practice address
2775 State Route 39
Shelby OH 44875-9466
Phone: (419) 747-3322
Fax: (381) 657-9702
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | 0680 | Ohio |
| Residential Treatment Facilities / Substance Abuse Treatment, Children | 3245S0500X | FACSIS 256 | Ohio |
Profile Details
| NPI number | 1376518902 |
|---|---|
| LBN Legal business name | Cornell Abraxas Group, Llc |
| DBA Doing business as | |
| Authorized official | Vogt, Julia |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Jun 13th, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376518902 | NPPES |
| Ohio | MEDICAID | 0063924 | |
| Ohio | MEDICAID | 2876928 |
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