MEDICARE: THE WAVE OF HUBER HEIGHTS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251S00000X	Community/Behavioral Health Agency
2	261QM0850X	Adult Mental Health Clinic/Center
3	273R00000X	Psychiatric Hospital Unit
4	276400000X	Substance Use Disorder Rehabilitation Hospital Unit
5	323P00000X	Psychiatric Residential Treatment Facility
6	324500000X	Substance Abuse Rehabilitation Facility
7	283Q00000X	Psychiatric Hospital

General Provider Information

NPI Number	:	1528641768
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE WAVE OF HUBER HEIGHTS, LLC

Provider Business Mailing Address
First Line	:	28059 US HIGHWAY 19 N STE 205
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33761-2620
Country	:	US
Telephone Number	:	352-442-2643
Fax Number	:

Provider Business Practice Location Address
First Line	:	6200 BELLEFONTAINE RD
Second Line	:
City	:	HUBER HEIGHTS
State	:	OH
Zip	:	45424-4009
Country	:	US
Telephone Number	:	727-205-7077
Fax Number	:

Authorized Official
Title or Position	:	CHIEF COMPLIANCE OFFICER
Name	:	ANDRE GENAO
Credential	:
Telephone Number	:	352-442-2643

Provider Enumeration Date	:	05/05/2021
Last Update Date	:	06/13/2022

Similar Medicare Providers

1538722319 — MH HUBER HEIGHTS OPERATING, LLC
Practice Location Address:

6200 BELLEFONTAINE RD
HUBER HEIGHTS, OH
45424-4009

Practice Phone: 937-236-1800
Practice Fax: 937-237-5076

1164055794 — ANTOINETTE TEGTMEIER MSW, LCSW
Practice Location Address:

6210 BELLEFONTAINE RD
HUBER HEIGHTS, OH
45424-4009

Practice Phone: 937-236-1800
Practice Fax:

1265010722 — JOHN PAUL BOYKO
Practice Location Address:

6200 BELLEFONTAINE RD
HUBER HEIGHTS, OH
45424-4009

Practice Phone: 937-204-3095
Practice Fax:

1194464081 — HUBER HEIGHTS HOLDINGS, LLC
Practice Location Address:

6210 BELLEFONTAINE RD
HUBER HEIGHTS, OH
45424-4009

Practice Phone: 937-236-1800
Practice Fax: 937-347-5912

1568161420 — ANDIAMO HEALTHCARE
Practice Location Address:

6210 BELLEFONTAINE RD
HUBER HEIGHTS, OH
45424-4009

Practice Phone: 330-329-7980
Practice Fax:

1326737826 — PROBEHAVIORAL LLC
Practice Location Address:

6210 BELLEFONTAINE RD
HUBER HEIGHTS, OH
45424-4009

Practice Phone: 937-236-1800
Practice Fax:

Directions to “THE WAVE OF HUBER HEIGHTS, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.