FAR WEST CENTER (NPI# 1093771230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093771230 |
Entity Type | Organization |
Organization Name | FAR WEST CENTER |
Other Organization Name | MAIN LOCATION |
Practice Address |
29133 Health Campus Dr Bldg. 4 Westlake OH 44145-5256 |
Practice Telephone | 4408356212 |
Practice Fax Number | 4408356231 |
Mailing Telephone | 4408356212 |
Mailing Fax Number | 4408356231 |
Enumeration Date | 2006-04-25 |
Last Update Date | 2018-11-21 |
Authorized Official Name | MS. HELEN MARIE DYLAG (CEO) |
Authorized Official Telephone | 4408356212 |
Authorized Official Credential | RN, APRN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251B00000X | Case Management | Agencies | ||
N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
209 | OH | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | ADAMHS BOARD OF CUYAHOGA COUNTY | 02505 | 01 |
OH | 0959548 | 05 | |
OH | LORAIN COUNTY BOARD OF MENTAL HEALTH | 10460 | 01 |
Other Name | Type Code |
---|---|
MAIN LOCATION | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639135940 | Far West Center | Clinic/Center | 554 N Leavitt Rd, Amherst, OH 44001-1131 | 2006-04-25 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | FAR WEST CENTER | 29133 Health Campus Dr, Westlake, OH 44145-5256 |
Street Address |
29133 HEALTH CAMPUS DR BLDG. 4 |
City | WESTLAKE |
State | OH |
Zip Code | 44145-5256 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043287998 | Colleen Clare Barrett | Social Worker | 29133 Health Campus Dr, Westlake, OH 44145-5256 | 2006-02-28 |
1588291199 | Jean M Cook | Case Manager/Care Coordinator | 29133 Health Campus Dr, Westlake, OH 44145-5256 | 2020-03-24 |
1417467788 | Denisse Cruz | Case Manager/Care Coordinator | 29133 Health Campus Dr, Westlake, OH 44145-5256 | 2017-10-02 |
1326558693 | Juanita Koch | Case Manager/Care Coordinator | 29133 Health Campus Dr, Westlake, OH 44145-5256 | 2017-10-02 |
1962912238 | Cynthia Idada | Case Manager/Care Coordinator | 29133 Health Campus Dr, Westlake, OH 44145-5256 | 2017-10-02 |
1245772185 | Alexandra G. Moulagiannis | Counselor | 29133 Health Campus Dr, Westlake, OH 44145-5256 | 2016-11-09 |
1427401918 | Stephanie Stachnik | Counselor | 29133 Health Campus Dr, Westlake, OH 44145-5256 | 2016-07-20 |
1205286176 | Denise M Ayres | Social Worker | 29133 Health Campus Dr, Westlake, OH 44145-5256 | 2016-06-21 |
1366892226 | Linda Nichols | Social Worker | 29133 Health Campus Dr, Westlake, OH 44145-5256 | 2016-06-21 |
1205286614 | Janet Marie Aaron | Licensed Practical Nurse | 29133 Health Campus Dr, Westlake, OH 44145-5256 | 2016-06-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720628902 | Inherent Basic Goodness Counseling, LLC | Social Worker | 24600 Center Ridge Road Suite 130, Westlake, OH 44145 | 2020-01-15 |
1700425030 | The Family Dentist of Westlake Jonathan J Klineman Dds Inc | Dentist | 26600 Detroit Rd Suite 230, Westlake, OH 44145 | 2020-01-03 |
1033772421 | Holding Space, LLC | Social Worker | 26404 Center Ridge Rd Building A1 Ste A7, Westlake, OH 44145 | 2019-04-21 |
1326532508 | Integrative Pain Care LLC | Durable Medical Equipment & Medical Supplies | 25200 Center Ridge Rd, Ste 3300, Westlake, OH 44145 | 2018-06-20 |
1841783990 | Wendy Lynn Wheeler | Counselor | 28263 Center Ridge Rd, Westlake, OH 44145 | 2018-06-13 |
1326557836 | Tiffany Manrodt | Social Worker | 24500 Center Ridge Road Bldg 4, #120, Westlake, OH 44145 | 2017-09-27 |
1639620792 | Stacy Ryan | Speech-Language Pathologist | 3057 Holly Lane, Westlake, OH 44145 | 2016-10-24 |
1790238954 | Kathleen Hanigosky | Pharmacist | 27175 Center Ridge Rd., Westlake, OH 44145 | 2016-07-25 |
1780073155 | Prominent Healthcare, Inc. | Community/Behavioral Health | 24650 Westlake Center Ridge Road, Westlake, OH 44145 | 2015-01-22 |
1902225022 | Amanda Brooke Abernathy | Physical Therapist | 850 Columbia Road, Suite #110, Westlake, OH 44145 | 2014-04-16 |
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Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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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.