LIFESTREAM (NPI# 1023495645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023495645 |
| Entity Type | Organization |
| Organization Name | LIFESTREAM |
| Other Organization Name | HARBOR |
| Practice Address |
6629 W Central Ave Toledo OH 43617-1098 |
| Mailing Address |
P.o. Box 8970 Toledo OH 43623 |
| Practice Telephone | 4194754449 |
| Mailing Telephone | 4194754449 |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-04 |
| Authorized Official Name | JOHN SHEEHAN (PRESIDENT) |
| Authorized Official Telephone | 4194754449 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Harbor | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LIFESTREAM | 384 W Orange Show Rd, San Bernardino, CA 92408-2028 |
| Oregon Corporations, Companies and Business Names | LIFESTREAM | 4227 Crownwood Dr, Seabrook, TX 77586 |
| Oregon Corporations, Companies and Business Names | LIFESTREAM BUSINESS AND WELLNESS LLC | 1767 Old Town Loop Rd, Oakland, OR 97462 |
| Colorado Business Entities | LifeStream Complete Senior Living, Inc. | 11555 W. Peoria Avenue, Youngtown, AZ 85363 |
| Colorado Business Entities | LIFESTREAM DEVELOPMENT PARTNERS LLP, Dissolved April 17, 2003 | 1050 Seventeenth St Ste 200, Denver, CO 80265 |
| Washington State Corporations | LIFESTREAM EDUCATION LLC | 4250 Ne 4th St Ste D, Renton, WA 98059-5009 |
| Colorado Business Entities | Lifestream Financial, LLC | 12741 North Spring Creek Road, Parker, CO 80138 |
| New York State Corporations | LIFESTREAM GLOBAL ENTERPRISES INC. | 1317 East 88th Street, Brooklyn, New York 11236 |
| Colorado Business Entities | Lifestream Holdings LLC | 19469 Road H, Ordway, Colorado Springs, CO 81063 |
| Virginia Business Entities | LIFESTREAM INC. | 2006 Windsor Ave Sw, Roanoke, Virginia 24015 |
| Street Address |
6629 W CENTRAL AVE |
| City | TOLEDO |
| State | OH |
| Zip Code | 43617-1098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114926045 | Lorraine M Fay | Pediatrics | 6629 W Central Ave, Toledo, OH 43617-1098 | 2005-07-21 |
| 1306460449 | Angela Westenkirchner | Counselor | 6629 W Central Ave, Toledo, OH 43617-1098 | 2020-06-04 |
| 1437773843 | Aneesa Volkman | Licensed Practical Nurse | 6629 W Central Ave, Toledo, OH 43617-1098 | 2020-06-01 |
| 1023631405 | Megan Griffith | Case Manager/Care Coordinator | 6629 W Central Ave, Toledo, OH 43617-1098 | 2020-05-20 |
| 1053932244 | Darlena Lott | Counselor | 6629 W Central Ave, Toledo, OH 43617-1098 | 2020-04-29 |
| 1205456969 | Leena Rukieh | Counselor | 6629 W Central Ave, Toledo, OH 43617-1098 | 2020-04-23 |
| 1396365474 | Alison Martin | Counselor | 6629 W Central Ave, Toledo, OH 43617-1098 | 2020-04-20 |
| 1770111957 | Ariel Gromer | Counselor | 6629 W Central Ave, Toledo, OH 43617-1098 | 2020-04-01 |
| 1689202863 | Joseph Glass | Counselor | 6629 W Central Ave, Toledo, OH 43617-1098 | 2020-04-01 |
| 1205462470 | Cheryl Streicher | Counselor | 6629 W Central Ave, Toledo, OH 43617-1098 | 2020-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013541838 | Barbara Futrell | Licensed Practical Nurse | 6629 Central Avenaue, Toledo, OH 43617 | 2020-03-02 |
| 1366917569 | Melissa Malinowski | Counselor | 7540 New West Road, Toledo, OH 43617 | 2018-10-04 |
| 1144716226 | Jessica Torres-garcia | Counselor | 7410 Port Sylvania Dr., Toledo, OH 43617 | 2018-07-02 |
| 1326538703 | Toledo Clinic Incorporated | Clinic/Center | 3330 Meijer Drive, Ste 2, Toledo, OH 43617 | 2018-05-11 |
| 1629570411 | Amy Marie Burgess | Case Manager/Care Coordinator | 6055 W. Central Ave., Toledo, OH 43617 | 2018-03-07 |
| 1760984231 | Stacey Lynn Mclaughlin | Counselor | 6629 Central Avenue, Toledo, OH 43617 | 2018-03-01 |
| 1801396601 | Anne Grady Coporation | Intermediate Care Facility, Mentally Retarded | 3216 Zone Avenue, Toledo, OH 43617 | 2018-02-19 |
| 1982111084 | Synergy Primary Care and Wellness LLC | Internal Medicine | 3230 Central Park W Ste 112, Toledo, OH 43617 | 2018-01-10 |
| 1316483381 | Amy R Mossing | Registered Nurse | 2770 Centennial Rd Bldg 7, Toledo, OH 43617 | 2017-01-13 |
| 1841674736 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 2550 King Road, Toledo, OH 43617 | 2015-07-10 |
| Find all providers in zip 43617 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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|---|---|---|---|---|
| 1871102301 | Access Behavioral LLC | Clinic/Center | 528 W Marion Rd Ste C, Mount Gilead, OH 43338-1085 | 2020-07-30 |
| 1629687157 | Access Behavioral LLC | Clinic/Center | 4725 Parkwick Dr Ste 100, Columbus, OH 43228-6401 | 2020-07-30 |
| 1992334858 | Pace Healthcare LLC | Clinic/Center | 5225 Cleveland Rd Ste F, Wooster, OH 44691-5541 | 2020-04-03 |
| 1225661986 | Partners In Recovery Inc | Clinic/Center | 1925 E. Livingston Ave, Suite 403, Columbus, OH 43209 | 2020-02-20 |
| 1073150009 | Redefined Counseling and Consulting | Clinic/Center | 8251 Mayfield Rd Ste 200, Chesterland, OH 44026-2567 | 2019-12-10 |
| 1861040099 | Proactive Immediate Care Clinic, LLC | Clinic/Center | 1661 State Route 522 Unit 2, Wheelersburg, OH 45694-8120 | 2019-08-30 |
| 1740837160 | Bf Empowerment Center LLC | Clinic/Center | 526 S Main St Ste 107, Akron, OH 44311-4401 | 2019-08-20 |
| 1497218077 | Wecare Tlc- Frontpath | Clinic/Center | 1090 W South Boundary St Ste 200, Perrysburg, OH 43551-5278 | 2019-04-10 |
| 1013474857 | Dose Anesthesia | Clinic/Center | 5423 Mahoning Ave Ste G, Austintown, OH 44515-2435 | 2019-02-28 |
| 1962986372 | Shannon Jap Md LLC | Clinic/Center | 5040 Forest Dr Ste 210, New Albany, OH 43054-8166 | 2018-09-20 |
| Find all providers with the same taxonomy | ||||
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| 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.