LAKELAND HOSPITAL ACQUISITION, LLC


Address: 440 S Market Ave, Springfield, MO 65806-2026
Phone: 4178655581

LAKELAND HOSPITAL ACQUISITION, LLC (NPI# 1205095569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205095569
Entity Type Organization
Organization Name LAKELAND HOSPITAL ACQUISITION, LLC
Other Organization Name LAKELAND BEHAVIORAL HEALTH SYSTEM
Practice Address 440 S Market Ave
Springfield
MO 65806-2026
Mailing Address 6100 Tower Cir Ste 1000
Franklin
TN 37067-1509
Practice Telephone 4178655581
Practice Fax Number 4178650566
Mailing Telephone 6158616000
Enumeration Date 2008-06-03
Last Update Date 2019-12-17
Authorized Official Name CHRISTOPHER HOWARD (EVP & GENERAL COUNSEL)
Authorized Official Telephone 6158616000
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 323P00000X Psychiatric Residential Treatment Facility 000754769 MO Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MO STATE OF MISSOURI DEPARTMENT OF SOCIAL SERVICES 000754769 01

Other Provider/Organization Names

Other Name Type Code
Lakeland Behavioral Health System Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1720165327 Lakeland Hospital Acquisition, LLC Psychiatric Residential Treatment Facility 440 South Market Ave, Springfield, MO 65806-2026 2006-11-01
1386271054 Lakeland Hospital Acquisition, LLC Psychiatric Hospital 440 S Market Ave, Springfield, MO 65806-2026 2020-03-24

Office Location

Street Address 440 S MARKET AVE
City SPRINGFIELD
State MO
Zip Code 65806-2026

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851372601 Mary Katherine Brinkman Physician Assistant 440 S Market Ave, Springfield, MO 65806-2026 2005-11-09
1669093852 Sara Shryack Wolf Social Worker 440 S Market Ave, Springfield, MO 65806-2026 2020-04-29
1386271054 Lakeland Hospital Acquisition, LLC Psychiatric Hospital 440 S Market Ave, Springfield, MO 65806-2026 2020-03-24
1437612082 Claudia Lizeth Moncada Maldonado Social Worker 440 S Market Ave, Springfield, MO 65806-2026 2019-04-10
1275018335 Heather M Freeman Counselor 440 S Market Ave, Springfield, MO 65806-2026 2018-09-25
1902308620 Courtney Treat Physician Assistant 440 S Market Ave, Springfield, MO 65806-2026 2018-03-08
1154714863 Rebecca Granden Social Worker 440 S Market Ave, Springfield, MO 65806-2026 2015-03-05
1912248949 Sarah Marie Young Physician Assistant 440 S Market Ave, Springfield, MO 65806-2026 2013-03-15
1013253186 Elizabeth Marie Mendenhall Social Worker 440 S Market Ave, Springfield, MO 65806-2026 2012-12-18
1780907337 Matthew D. Weatherly Counselor 440 S Market Ave, Springfield, MO 65806-2026 2010-03-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437614625 Jaleesa Warnay Westmoreland-ginger Specialist/Technologist 609 East Cherry Street, Sports Medicine and Athletic Training Suite 600, Springfield, MO 65806 2019-02-01
1609359116 Stacy Johnson Social Worker 134 West Park Central Sq, Springfield, MO 65806 2018-09-11
1801312871 Scott Lewis Stegeman Specialist/Technologist 609 E Cherry St, Springfield, MO 65806 2017-08-21
1154787638 Alicia R. Thomas Nurse Practitioner 618 N. Benton, Springfield, MO 65806 2016-01-13
1972938231 Karah Nicole Domenico Dietitian, Registered 205 Park Central East Ste. 217, Springfield, MO 65806 2013-09-05
1386766921 Mary Ann Wood Smith Counselor 305 East Walnut, Suite 103, Springfield, MO 65806 2007-04-04
1811023161 Yvonda Schwartz Counselor 1212 W Lombard, Great Circle, Springfield, MO 65806 2007-02-23
1861579880 Richard Chalon Aiken Psychiatry & Neurology 440 S Market Street, Springfield, MO 65806 2006-11-01
1093806671 Clint A Strong Family Medicine 440 E. Tampa St, Springfield, MO 65806 2006-09-27
1609835164 Ray E. Burmood Social Worker 614 South Street, Springfield, MO 65806 2006-03-22
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Taxonomy Information

Taxonomy Code 323P00000X
Grouping Residential Treatment Facilities
Classification Psychiatric Residential Treatment Facility

Taxonomy Definition

A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164740734 Youth Service International Inc. Psychiatric Residential Treatment Facility 709 6th Street, Springfield, SD 57062 2010-05-06
1720165327 Lakeland Hospital Acquisition, LLC Psychiatric Residential Treatment Facility 440 South Market Ave, Springfield, MO 65806-2026 2006-11-01
1861897183 Columbiacare Services Psychiatric Residential Treatment Facility 2211 Clear Vue Ln, Springfield, OR 97477-1373 2014-10-29
1417214636 Great Circle Psychiatric Residential Treatment Facility 1212 W Lombard St, Springfield, MO 65806-2720 2012-04-12
1295801678 Boys & Girls Town of Missouri Psychiatric Residential Treatment Facility 1212 W Lombard St, Springfield, MO 65806-2720 2006-11-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023618014 R &r Residential Care LLC Psychiatric Residential Treatment Facility 17025 Old Jamestown Rd, Florissant, MO 63034-1414 2020-10-28
1336596832 Castlewood Treatment Center LLC Psychiatric Residential Treatment Facility 1268 Saint Paul Rd, Ballwin, MO 63021-8207 2016-05-16
1780043141 Lisa Brown Psychiatric Residential Treatment Facility 5921 County Road 647, Hornersville, MO 63855-9811 2016-02-14
1073909511 Weatherby & Associates, LLC Psychiatric Residential Treatment Facility 1323 N Washington St, Mexico, MO 65265-3352 2015-04-10
1073830139 Castlewood Treatment Center LLC Psychiatric Residential Treatment Facility 1260 St. Paul Road, St. Louis, MO 63021 2010-04-29
1932369857 Missouri Residential Care LLC Psychiatric Residential Treatment Facility 7700 Minnesota Ave, Saint Louis, MO 63111-3336 2008-06-13
1003000571 House of Care Center Psychiatric Residential Treatment Facility 3744 Benton Blvd, Kansas City, MO 64128-2515 2007-08-28
1316130784 Change Academy At Lake of The Ozarks Psychiatric Residential Treatment Facility 130 Calo Lane, Lake Ozark, MO 65049 2007-08-20
1407058894 K. F. Jammer Manor Inc. Psychiatric Residential Treatment Facility 5415 Thekla Ave, Saint Louis, MO 63120-2513 2007-06-05
1972705341 K. F. Jammer Manor Inc. Psychiatric Residential Treatment Facility 1004 Pennsylvania Ave, Saint Louis, MO 63130-2325 2007-06-05
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Competitor

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City SPRINGFIELD
Zip Code 65806

Improve Information

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Dataset Information

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.

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