Healthcare Provider Details

I. General information

NPI: 1427972652
Provider Name (Legal Business Name): ADVANCED HEALTHCARE TECHNOLOGIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

938 CHESTNUT RUN
GATES MILLS OH
44040-9761
US

IV. Provider business mailing address

938 CHESTNUT RUN
GATES MILLS OH
44040-9761
US

V. Phone/Fax

Practice location:
  • Phone: 440-241-1846
  • Fax: 860-201-1846
Mailing address:
  • Phone: 440-241-1846
  • Fax: 860-201-1846

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL RABIN
Title or Position: PRESIDENT
Credential: MD
Phone: 440-241-1846