Square One Health LLC
NPI 1568926376 · Substance Abuse Rehabilitation Facility · Ashtabula, OH
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Square One Health LLC is a Substance Abuse Rehabilitation Facility organization in Ashtabula, OH (NPI 1568926376).
Provider details
- NPI number
- 1568926376
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Justin Dufour, Owner(928) 231-1789
Specialties & taxonomies
Residential Treatment Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
Mailing address
Registry dates
- Enumerated
- 2019-01-25
- Last updated
- 2021-09-07
- Certified
- 2021-09-07
Frequently asked questions
- What is Square One Health LLC's NPI number?
- Square One Health LLC's National Provider Identifier (NPI) is 1568926376, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Square One Health LLC?
- Square One Health LLC is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is Square One Health LLC located?
- Square One Health LLC's practice location on file with NPPES is 620 W 44th St, Ashtabula, OH 44004-6812.
- What is Square One Health LLC's phone number?
- The practice phone number listed in the NPPES registry for Square One Health LLC is (602) 736-6973.
- Does Square One Health LLC accept Medicare?
- Square One Health LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Square One Health LLC?
- The authorized official listed on Square One Health LLC's NPPES record is Justin Dufour, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Square One Health LLC's NPI active?
- Yes — Square One Health LLC's NPI (1568926376) is active in the NPPES registry as of the last update on 2021-09-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.