OrganizationActive
Great Lakes Recovery Center LLC
NPI 1497376735 · Substance Abuse Rehabilitation Facility · Fremont, OH
Provider details
- NPI number
- 1497376735
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- David Guardiola, Executive Director(567) 280-9435
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs 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
2575 Hayes Ave
Fremont, OH 43420-5201
Phone: (567) 280-9435
Street-level locationGet directions
Mailing address
441 N Broadway St
Green Springs, OH 44836-9689
Registry dates
- Enumerated
- 2020-04-28
- Last updated
- 2025-10-29
- Certified
- 2025-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.