MEDICARE: WESTCARE OHIO, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1881525129
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTCARE OHIO, INC.

Provider Business Mailing Address
First Line	:	PO BOX 94738
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89193-4738
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	624 XENIA AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45410-1826
Country	:	US
Telephone Number	:	937-259-1898
Fax Number	:

Authorized Official
Title or Position	:	CHIEF OPERATIONS OFFICER
Name	:	ANDREA BRIDGEWATER
Credential	:
Telephone Number	:	725-735-8459

Provider Enumeration Date	:	05/26/2026
Last Update Date	:	05/26/2026

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Directions to “WESTCARE OHIO, INC. ” Practice Location

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