Port45 Recovery Llc

LBN: Port45 Recovery Llc
Port45 Recovery Llc is an health care organization with primary practice located at 1616 Grant St , Portsmouth OH 45662-3663. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as the primary health care specialty. Port45 Recovery Llc can be contacted via phone (740) 529-7356, or through Staley, Sharon via phone (419) 606-3141.

Contact Information

Primary practice address
1616 Grant St Portsmouth OH 45662-3663
Phone: (740) 529-7356
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Staley, Sharon
Phone: (419) 606-3141

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1780033993
LBN Legal business name Port45 Recovery Llc
DBA Doing business as
Authorized official Staley, Sharon
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2016
Last updated Oct 7th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780033993 NPPES
Ohio MEDICAID 101YA0400X

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