OrganizationA Renewed Mind(<Unavail>)Community/Behavioral HealthAgenciesPractice Address1832 Adams St, Toledo, OH 43604(419) 720-9586(419) 330-1050PECOS EnrollmentBased on the most recent information from CMS, provider A Renewed Mind does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1902084528Provider TypeOrganizationFull NameA Renewed MindOther Name<Unavail>SubpartNoEnumeration Date2/6/2008Last Updated1/12/2017Contact InformationPractice LocationPractice Address1832 Adams St, Toledo, OH 43604Phone(419) 720-9586Fax(419) 720-9588Mailing LocationMailing Address885 Commerce Dr., Perrysburg, OH 43551-5268Phone(419) 330-1050Fax(419) 938-6820Authorized OfficialNameHamann, Crystal A (Credentialing Specialist)Phone(419) 330-5115Provider TaxonomiesCodeDescriptionLicenseCode251S00000XPrimaryDescriptionCommunity/Behavioral HealthAgenciesLicenseUnlisted IssuerCode251S00000XDescriptionCommunity/Behavioral HealthAgenciesLicense12679OhioProvider IdentifiersIDDescriptionIssuerID12679DescriptionOtherIssuerODADAS UPI NUMBEROhioID2963995DescriptionMedicaidIssuerUnlistedOhio