OrganizationActive
Etv. LLC
NPI 1750783767 · Substance Abuse Rehabilitation Facility · Jefferson, OH
Provider details
- NPI number
- 1750783767
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Mitch Trout, Owner(440) 624-4033
- License
- 13184 (OH)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
1484 State Route 46 N Ste 7
Jefferson, OH 44047-8147
Phone: (440) 624-4033
Street-level locationGet directions
Mailing address
1484 State Route 46 N Ste 7
Jefferson, OH 44047-8147
Other names (DBA / former)
- Doing business as
- Independent Solutions
Registry dates
- Enumerated
- 2014-09-22
- Last updated
- 2014-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.