STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT, STATE ACCOUNTING (NPI# 1013986082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013986082 |
| Entity Type | Organization |
| Organization Name | STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT, STATE ACCOUNTING |
| Other Organization Name | NB - LAKE RESIDENTIAL SUPPORT CSN |
| Practice Address |
1420 Lost Nation Rd Willoughby OH 44094-7375 |
| Mailing Address |
30 E. Broad St 11th Floor - Fiscal Administration Columbus OH 43215-3430 |
| Practice Telephone | 3304677131 |
| Practice Fax Number | 3304672420 |
| Mailing Telephone | 6144666583 |
| Mailing Fax Number | 6146445331 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2011-11-30 |
| Authorized Official Name | MS. TONYA MARIE FASONE (FISCAL MANAGER) |
| Authorized Official Telephone | 6144669930 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | OH | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | MACSIS | 10409 | 01 |
| Other Name | Type Code |
|---|---|
| NB - Lake Residential Support CSN | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710956594 | State of Ohio Office of Budget and Management, State Accounting | Case Management | 2510 John Glenn Hwy, Cambridge, OH 43725-9028 | 2006-03-15 |
| 1639148638 | State of Ohio Office of Budget and Management, State Accounting | Case Management | 30 E. Broad St, 11th Floor - Fiscal Administration, Columbus, OH 43215-3430 | 2006-03-14 |
| 1831168806 | State of Ohio Office of Budget and Management, State Accounting | Case Management | 418 Main Ave Sw, Suite 100, Warren, OH 44481-1060 | 2006-03-14 |
| 1538134739 | State of Ohio Office of Budget and Management, State Accounting | Case Management | 3595 Sullivant Ave, Columbus, OH 43228-2121 | 2006-02-21 |
| 1699744706 | State of Ohio Office of Budget and Management, State Accounting | Case Management | 9259 Liberty School Rd, Cambridge, OH 43725-9589 | 2006-03-14 |
| 1912976994 | State of Ohio Office of Budget and Management, State Accounting | Case Management | 1756 Sagamore Rd, Northfield, OH 44067-1086 | 2006-03-14 |
| Street Address |
1420 LOST NATION RD |
| City | WILLOUGHBY |
| State | OH |
| Zip Code | 44094-7375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679679526 | Donna B Tobin | Social Worker | 1420 Lost Nation Rd, Willoughby, OH 44094-7375 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574367 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 36596 Euclid Ave, Willoughby, OH 44094 | 2020-09-25 |
| 1679111322 | Megan King | Nurse Practitioner | 4078 Erie Street, Unit B, Willoughby, OH 44094 | 2019-12-12 |
| 1124661525 | Mind and Body Infusion Therapies, LLC | Clinic/Center | 9264 Chillicothe Rd., Unit #2, Kirtland, OH 44094 | 2019-10-18 |
| 1679125637 | Christina Maria Chandler | Family Medicine | 39021 Signature Circle, Willoughby, OH 44094 | 2019-07-10 |
| 1467920595 | Rachel Curry | Specialist/Technologist | 53400 Euclid Ave., Apt. E-102, Willoughby, OH 44094 | 2018-11-07 |
| 1437649753 | Katie Lauren Greenaway | Registered Nurse | 5103 Robinhood Dr, Willoughby, OH 44094 | 2018-05-11 |
| 1003346131 | Heather Marie Hayes | Licensed Practical Nurse | 38882 Mentor Ave., Willoughby, OH 44094 | 2017-06-12 |
| 1609305028 | Ann Marie Mason | Counselor | 38882 Mentor Avenue, Willoughby, OH 44094 | 2017-06-08 |
| 1285173005 | Mattie Diann Towns-scott | Social Worker | 34950 Chardon Road, Bldg 2, Suite 210, Willoughby Hills, OH 44094 | 2017-02-13 |
| 1447797329 | Therese Benz | General Acute Care Hospital | 96000 Euclid Ave., Willoughby, OH 44094 | 2017-01-30 |
| Find all providers in zip 44094 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720613474 | Kimberly Sangare | Community Based Residential Treatment Facility, Mental Illness | 2302 Norwood Ave Apt 3, Cincinnati, OH 45212-2738 | 2020-03-03 |
| 1427618404 | Ian Edwards | Community Based Residential Treatment Facility, Mental Illness | 1345 Shela Blvd Apt 7, Portsmouth, OH 45662-8981 | 2019-06-20 |
| 1548827751 | Pyramid House LLC | Community Based Residential Treatment Facility, Mental Illness | 6041 Mcnaughten Grove Ln, Columbus, OH 43213-5106 | 2019-05-22 |
| 1003359936 | My Sisters House for Girls, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4540 Woolcut Ln, Toledo, OH 43615-7667 | 2016-11-26 |
| 1083067896 | Jaz Boyce | Community Based Residential Treatment Facility, Mental Illness | 592 Wiltshire Rd, Columbus, OH 43204-2429 | 2016-07-16 |
| 1679927974 | Parents Addressing Teen Challenges | Community Based Residential Treatment Facility, Mental Illness | 65 N Powell Ave, Columbus, OH 43204-2618 | 2016-04-22 |
| 1962864348 | Kailey Bradley | Community Based Residential Treatment Facility, Mental Illness | 80 Samaritan Ave Apt 1, Ashland, OH 44805-3924 | 2016-03-24 |
| 1134540503 | The Village Network Inc. | Community Based Residential Treatment Facility, Mental Illness | 5500 Market St Ste 106, Boardman, OH 44512-2616 | 2014-01-02 |
| 1184943417 | Tender Mercies, Inc. | Community Based Residential Treatment Facility, Mental Illness | 27 W 12th St, Cincinnati, OH 45202-7205 | 2010-05-26 |
| 1528200227 | Brockton Healthcare Network | Community Based Residential Treatment Facility, Mental Illness | 5701 Spruce Tree Dr, Columbus, OH 43232-7751 | 2009-03-27 |
| Find all providers with the same taxonomy | ||||
| City | WILLOUGHBY |
| Zip Code | 44094 |
Please comment or provide details below to improve the information on STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT, STATE ACCOUNTING.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.