SOUTHERN OHIO PREMIER RECOVERY, LLC – NPI #1235803115
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

SOUTHERN OHIO PREMIER RECOVERY, LLC is a substance abuse rehabilitation facility located in MCDERMOTT, OH. NPPES has assigned the NPI number 1235803115 to SOUTHERN OHIO PREMIER RECOVERY, LLC on August 04, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 2 years ago on Mar 05, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHERN OHIO PREMIER RECOVERY, LLC below.

NPI Profile for
SOUTHERN OHIO PREMIER RECOVERY, LLC

NPI Number
1235803115
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHERN OHIO PREMIER RECOVERY, LLC
Primary location
6431 STATE ROUTE 104
MCDERMOTT, OH 45652-8943
Phone: (740) 981-6987 Fax:
Mailing address
6587 STATE ROUTE 104
MC DERMOTT, OH 45652-8943
Phone: (740) 981-6987 Fax:
Organization Subpart
No
Authorized Official
FAITH BIVENS
OWNER
Phone: (740) 981-6987
Updated
Certification Date
Mar 05, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.