DeCoach Rehabilitation Centre – Substance Use Disorder Rehabilitation Clinic/Center, NPI 1366992224
Substance Use Disorder Rehabilitation Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DeCoach Rehabilitation Centre
100 CROWNE POINT PL
CINCINNATI, OH 452415427
Phone: (513) 743-7628
Fax: (513) 737-1107
Type: Mailing
6570, Sosna Drive, Stockton, Fairfield, Butler County, Ohio, 45014, United States
FAIRFIELD, OH 450142222
Phone: (513) 942-4673
Fax: (513) 860-1473
Type: Mailing
36 N Detroit St Ste 105
Xenia, OH 453852963
Phone: (513) 942-4673
Fax: (513) 860-1473
Type: Location
302 W Main St
Fairborn, OH 453245037
Phone: (937) 281-4673
Fax: (937) 736-2815
Type: Location
6570 Sosna Dr
Fairfield, OH 450142222
Phone: (513) 942-4673
Fax: (513) 860-1473
Type: Location
3103 Dixie Hwy
Hamilton, OH 450151653
Phone: (513) 892-4673
Fax: (513) 737-1107
Type: Location
2172A US Highway 127 N
Eaton, OH 453209289
Phone: (937) 336-5018
Type: Location
1620 Harrison Ave
Cincinnati, OH 452141410
Phone: (513) 914-4673
Fax: (513) 407-3235
Type: Location
865 S Patterson Blvd
Dayton, OH 454022624
Phone: (937) 966-4673
Type: Location
3103 DIXIE HWY
HAMILTON, OH 450151653
Phone: (513) 924-6738
Fax: (513) 737-1107
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-05-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-02-29 (830 days ago).
Enrollment records
1
Earliest due date
2024-02-29
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20170501001472 | O | Clinic/Group Practice | OH | 2024-02-29 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G2079 | Take-home supply of buprenorphine (oral); up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | 255 | 15 | $0 |
| G2068 | Medication assisted treatment, buprenorphine (oral); weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opi | 146 | 17 | $0 |
| G2077 | Periodic assessment; assessing periodically by qualified personnel to determine the most appropriate combination of services and treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for | 130 | 16 | $0 |
Insurance plans in this area (ZIP 45241)
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