Healthcare Provider Details

I. General information

NPI: 1780512079
Provider Name (Legal Business Name): AMENDS RR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

445 EARLWOOD AVE
OREGON OH
43616-2744
US

IV. Provider business mailing address

445 EARLWOOD AVE
OREGON OH
43616-2744
US

V. Phone/Fax

Practice location:
  • Phone: 419-705-9262
  • Fax: 419-705-9262
Mailing address:
  • Phone: 419-705-9262
  • Fax: 419-705-9262

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: MR. EDWARD JAMES CUTCHER SR.
Title or Position: CEO
Credential: MBA
Phone: 419-705-9262