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Angel Intervention Services LLC

Angel Intervention Services LLC is a healthcare organization registered as Comprehensive Outpatient Rehabilitation Facility (CORF) in Van Wert, OH, holding Type 2 (organization) NPI 1801311121 since 2017. The authorized official on file is Holly Conklin, Ceo/Owner.

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NPI 1801311121
Entity type Organization (Type 2)
Legal business name Angel Intervention Services LLC
Practice address 123 S WASHINGTON ST, Van Wert, OH, 45891
Phone 4197711050
Enumeration date 2017-08-08
Last updated in NPPES 2023-07-12

Authorized official

Name Holly Conklin
Title Ceo/Owner
Phone 9185002570

Taxonomy & classification

Taxonomy code Specialty Primary License State
101Y00000X Counselor Secondary
101YA0400X Addiction (Substance Use Disorder) Counselor Secondary
251B00000X Case Management Agency Secondary
324500000X Substance Abuse Rehabilitation Facility Secondary
261QR0401X Comprehensive Outpatient Rehabilitation Facility (CORF) Primary

Other identifiers

Identifier Type State Issuer
0427664 Medicaid OH
Copy-ready billing details
Provider: Angel Intervention Services LLC
NPI: 1801311121
Taxonomy: 261QR0401X (Comprehensive Outpatient Rehabilitation Facility (CORF))
Address: 123 S WASHINGTON ST, Van Wert, OH, 45891

Providers at this address

NPI Name Type Specialty Location
1588828586 Michael Dowdy Individual Social Worker Van Wert, OH
1386169860 Erica Boyd Individual Addiction (Substance Use Disorder) Counselor Van Wert, OH
1255810388 Damion Boyd Individual Professional Counselor Van Wert, OH
1871157834 Yvonne Phillips Individual Addiction (Substance Use Disorder) Counselor Van Wert, OH
1437713492 Holly Conklin Individual Addiction (Substance Use Disorder) Counselor Van Wert, OH
1194326264 Audra Zinn Individual Addiction (Substance Use Disorder) Counselor Van Wert, OH
1457061178 Thomas Widmann Individual Counselor Van Wert, OH
1225811466 Kara Young Individual Case Manager/Care Coordinator Van Wert, OH

Verify this record

Cross-check NPI 1801311121 against the authoritative CMS record: view Angel Intervention Services LLC on the official NPPES registry .

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. Read the full guide or validate an NPI number.

Frequently asked questions

What type of organization is Angel Intervention Services LLC?
Angel Intervention Services LLC is registered in NPPES as a Comprehensive Outpatient Rehabilitation Facility (CORF) (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.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-07-12.