B. Riley Sober House

LBN: B. Riley Sober House
B. Riley Sober House is an health care organization with primary practice located at 2121 W 117Th St , Cleveland OH 44111-1642. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Peer Specialist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty. B. Riley Sober House can be contacted via phone (216) 417-4831, or through Correa, Rafael Antonio via phone (216) 417-4831.

Contact Information

Primary practice address
2121 W 117Th St Cleveland OH 44111-1642
Phone: (216) 417-4831
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Correa, Rafael Antonio
Phone: (216) 417-4831

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1417625666
LBN Legal business name B. Riley Sober House
DBA Doing business as
Authorized official Correa, Rafael Antonio
Entity Organization
Organization subpart 1 No
Enumeration date Sep 2nd, 2021
Last updated May 16th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417625666 NPPES
Ohio MEDICAID 0454981

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