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Interval Brotherhood Homes, Inc.

Substance Abuse Rehabilitation Facility in Coventry Twp, OH · enumerated 2006 · authorized official Anthony Henderson, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1760576565

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Registry record

Entity type Organization (Type 2)
Legal business name Interval Brotherhood Homes, Inc.
Other name <Unavail>
Practice address 3445 S Main St, Coventry Twp, OH, 44319
Phone (330) 644-4095
Fax (330) 645-2031
Enumeration date Oct 3, 2006
Last updated in NPPES Apr 23, 2025

Taxonomy & classification

261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities Secondary
261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities Secondary
320800000X Mental Illness Community Based Residential Treatment Facility Residential Treatment Facilities Secondary
324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities · License 1505 (OH) Primary

Authorized official

Name Anthony Henderson
Title Cfo
Phone (330) 237-6878

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Interval Brotherhood Homes, Inc.?
Interval Brotherhood Homes, Inc. is registered in NPPES as a Substance Abuse Rehabilitation Facility (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-04-23.