FOUNDATIONS FOR LIVING (NPI# 1134388739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134388739 |
| Entity Type | Organization |
| Organization Name | FOUNDATIONS FOR LIVING |
| Practice Address |
1451 Lucas Rd Mansfield OH 44903-8682 |
| Practice Telephone | 4195895511 |
| Practice Fax Number | 4195894656 |
| Mailing Telephone | 4195895511 |
| Mailing Fax Number | 4195894656 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |
| Authorized Official Name | MR. TOM BROHM (CEO) |
| Authorized Official Telephone | 4195895511 |
| Is Organization Subpart | Y |
| Parent Organization Name | UHS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | PN.065837 | OH | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | FOUNDATIONS FOR LIVING PLLC | 1500 Shorewood Dr, Bremerton, WA 98312-2323 |
| Street Address |
1451 LUCAS RD |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44903-8682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518986777 | Keystone Richland Center, LLC | Psychiatric Residential Treatment Facility | 1451 Lucas Rd, Mansfield, OH 44903-8682 | 2006-07-19 |
| 1417555111 | Scott Hingsbergen | Case Manager/Care Coordinator | 1451 Lucas Rd, Mansfield, OH 44903-8682 | 2020-10-14 |
| 1023624939 | Tonya Mcglasson | Case Manager/Care Coordinator | 1451 Lucas Rd, Mansfield, OH 44903-8682 | 2020-09-17 |
| 1881212678 | Jordan Lane Matheny | Licensed Practical Nurse | 1451 Lucas Rd, Mansfield, OH 44903-8682 | 2020-07-08 |
| 1922639756 | Theresa Hlopick | Registered Nurse | 1451 Lucas Rd, Mansfield, OH 44903-8682 | 2020-01-30 |
| 1467095034 | Connie R Harvey | Registered Nurse | 1451 Lucas Rd, Mansfield, OH 44903-8682 | 2019-10-25 |
| 1205478674 | Kathryn Ritchie | Case Manager/Care Coordinator | 1451 Lucas Rd, Mansfield, OH 44903-8682 | 2019-10-17 |
| 1770040198 | Anna Marie Durtschi | Registered Nurse | 1451 Lucas Rd, Mansfield, OH 44903-8682 | 2019-02-21 |
| 1609333103 | Chloe B. Montgomery | Social Worker | 1451 Lucas Rd, Mansfield, OH 44903-8682 | 2019-02-21 |
| 1073078101 | Danielle Nicole Bechtel | Licensed Practical Nurse | 1451 Lucas Rd, Mansfield, OH 44903-8682 | 2019-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710495304 | Meredith Remy | Specialist/Technologist | 864 St. Rt. 314 S, Mansfield, OH 44903 | 2018-01-17 |
| 1639695174 | Judd Mateo | Home Health Aide | 1027 Neil Circle N., Mansfield, OH 44903 | 2017-08-16 |
| 1942722517 | Leighana Nichole Smith | Licensed Practical Nurse | 1451 Lucas Rd., Mansfield, OH 44903 | 2017-07-14 |
| 1528481710 | Sarah Elizabeth Hoffman | Occupational Therapy Assistant | 1600 Crider Rd., Mansfield, OH 44903 | 2014-01-24 |
| 1881025195 | Erica Renee Hanley | Occupational Therapy Assistant | 1600 Crider Road, Mansfield, OH 44903 | 2013-12-12 |
| 1164768917 | Colette Elaine Germann | Licensed Practical Nurse | 695 Satinwood N Cr, Mansfield, OH 44903 | 2012-12-26 |
| 1386996577 | Nicky Lynn Cole | Home Health Aide | 135 Columbia Avenue, Mansfield, OH 44903 | 2012-10-11 |
| 1215217989 | Darein Lee Wilson | Nurse's Aide | 175 Colonial Drive, Mansfield, OH 44903 | 2011-08-25 |
| 1205070802 | Simone Nannette Robinson | Licensed Practical Nurse | 576 Garfield Place, Mansfield, OH 44903 | 2009-04-27 |
| 1659518991 | Amelia Faye Johnson Grund | Nurse Practitioner | 336 Glessner Ave, Mob 2nd Fl, Mansfield, OH 44903 | 2009-01-08 |
| Find all providers in zip 44903 | ||||
| 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 |
|---|---|---|---|---|
| 1356837934 | X'zavier O Payne | Community Based Residential Treatment Facility, Mental Illness | 420 N State Highway 360 Apt 2214, Mansfield, TX 76063-8716 | 2018-07-06 |
| 1023555729 | Tracy Keding | Community Based Residential Treatment Facility, Mental Illness | 1451 Lucas Rd, Mansfield, OH 44903-8682 | 2017-01-20 |
| 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 | ||||
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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.