OrganizationActive
Resurgence Residential Solutions LLC
NPI 1487454294 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Maumee, OH
Provider details
- NPI number
- 1487454294
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Jehovah Nissi Holdings LLC
- Organization subpart
- Yes
- Authorized official
- Michael Robinson, Director Director Designee(567) 868-7810
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1720 Indian Wood Cir Ste I
Maumee, OH 43537-4041
Phone: (567) 868-7810
Street-level locationGet directions
Mailing address
Po Box 146
Holland, OH 43528-0146
Other names (DBA / former)
- Other name
- Jehovah Nissi Holdings LLC
Registry dates
- Enumerated
- 2025-03-19
- Last updated
- 2025-03-19
- Certified
- 2025-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.