Fortaleza,Llc
LBN: Fortaleza,Llc
Fortaleza,Llc is an health care organization with primary practice located at 41641 N Ridge Rd , Elyria OH 44035-1264. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Fortaleza,Llc can be contacted via phone (440) 324-7406, or through Villa, Anthony via phone (440) 324-7406.
Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X |
Profile Details
| NPI number | 1386151645 |
|---|---|
| LBN Legal business name | Fortaleza,Llc |
| DBA Doing business as | |
| Authorized official | Villa, Anthony |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 8th, 2018 |
| Last updated | Dec 2nd, 2021 - 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 | 1386151645 | NPPES |
| Ohio | MEDICAID | 0123307 | |
| Ohio | MEDICAID | 0284736 |
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