| Community Teaching Homes, Inc. | |
|
6715 Dorr St. Toledo OH 43615 | |
| (419) 868-1178 | |
| (419) 868-1989 |
| Full Name | Community Teaching Homes, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 6715 Dorr St., Toledo, Ohio |
| Authorized Official Name and Position | Nancy Harvey (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4198681178 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Teaching Homes, Inc. Po Box 400 Holland OH 43528 Ph: (419) 868-1178 | Community Teaching Homes, Inc. 6715 Dorr St. Toledo OH 43615 Ph: (419) 868-1178 |
| NPI Number | 1306015813 |
|---|---|
| Provider Enumeration Date | 02/28/2008 |
| Last Update Date | 04/23/2020 |
| Certification Date | 04/23/2020 |
| Medicare PECOS PAC ID | 1951671999 |
|---|---|
| Medicare Enrollment ID | O20170724002598 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306015813 | NPI | - | NPPES |
| 2846586 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (Ohio) | Primary |
| Provider Name | Nancy Marie Harvey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891068672 PECOS PAC ID: 2668742610 Enrollment ID: I20170823000196 |
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