LUTHERAN HOMES SOCIETY, INC. (NPI# 1245262799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245262799 |
Entity Type | Organization |
Organization Name | LUTHERAN HOMES SOCIETY, INC. |
Other Organization Name | GENACROSS LUTHERAN SERVICES FAMILY AND YOUTH |
Practice Address |
1905 Perrysburg Holland Rd Holland OH 43528-9582 |
Mailing Address |
2411 Seaman St Toledo OH 43605-1519 |
Practice Telephone | 4196931520 |
Practice Fax Number | 4196933295 |
Mailing Telephone | 4196931520 |
Mailing Fax Number | 4196933295 |
Enumeration Date | 2006-07-07 |
Last Update Date | 2019-08-07 |
Authorized Official Name | LORINDA SCHALK (CFO/TREASURER) |
Authorized Official Telephone | 4198614906 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | OH | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | MACSIS IDENTIFIER | 10210 | 01 |
Other Name | Type Code |
---|---|
Genacross Lutheran Services Family and Youth | Doing Business As Name - Organization |
LHS Family and Youth Services | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710343801 | Lutheran Homes Society, Inc. | Assisted Living Facility | 2519 Seaman St, Toledo, OH 43605-1509 | 2016-01-06 |
1942461280 | Lutheran Homes Society, Inc. | Assisted Living Facility | 1032 S Perry St, Napoleon, OH 43545-2161 | 2008-06-19 |
1285938829 | Lutheran Homes Society, Inc. | Assisted Living Facility | 2001 Perrysburg Holland Rd, Holland, OH 43528-7005 | 2010-12-22 |
1588968143 | Lutheran Homes Society, Inc. | Skilled Nursing Facility | 1036 S Perry St, Napoleon, OH 43545-2159 | 2010-12-22 |
1851695415 | Lutheran Homes Society, Inc. | Skilled Nursing Facility | 131 N Wheeling St, Toledo, OH 43605-1544 | 2010-12-22 |
1568623809 | Lutheran Homes Society, Inc. | Assisted Living Facility | 131 N Wheeling St, Toledo, OH 43605-1544 | 2008-06-19 |
Street Address |
1905 PERRYSBURG HOLLAND RD |
City | HOLLAND |
State | OH |
Zip Code | 43528-9582 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689225559 | Toni M Hazen-mansfield | Case Manager/Care Coordinator | 1905 Perrysburg Holland Rd, Holland, OH 43528-9582 | 2019-09-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215542345 | Bobbi Stall | Technician | 1027 Raymil, Holland, OH 43528 | 2020-09-15 |
1336789049 | Diana Kobylak | Licensed Practical Nurse | Racing for Recovery, 6202 Trust Dr., Holland, OH 43528 | 2020-01-10 |
1982262291 | Raven Diane Hannah | Licensed Vocational Nurse | 350 South Irwin Rd, Holland, OH 43528 | 2019-06-01 |
1881163988 | Brandon Scott Smith | Counselor | 350 S Irwin Road, Holland, OH 43528 | 2018-11-19 |
1184199432 | Pamela Adrienne Wilson | Rehabilitation Counselor | 350 S. Irwin Road, Holland, OH 43528 | 2018-10-12 |
1023509460 | Shaunte Harris | Counselor | 350 S Irwin, Holland, OH 43528 | 2018-05-22 |
1982193314 | William Floyd Johnson | Counselor | 350 S. Irwin, Holland, OH 43528 | 2018-05-01 |
1174025100 | Samantha Hoelzer | Optometrist | 1460 Spring Meadows Drive, E100, Holland, OH 43528 | 2018-03-06 |
1780186262 | Vicki Gottfried | Community/Behavioral Health | 7015 Spring Meadows West Drive Suite 102, Holland, OH 43528 | 2018-03-01 |
1922519859 | Shaunta Marie Grier | Licensed Practical Nurse | 350 S Irwin Street, Holland, OH 43528 | 2017-10-18 |
Find all providers in zip 43528 |
Taxonomy Code | 322D00000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Emotionally Disturbed Children |
A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235677592 | Jocelyn Wilson | Residential Treatment Facility, Emotionally Disturbed Children | 182 Midlothian Ave, Youngstown, OH 44507 | 2017-02-07 |
1912311937 | Katina Nichols | Residential Treatment Facility, Emotionally Disturbed Children | 2645 Blue Heron Dr, Hudson, OH 44236-1868 | 2014-06-18 |
1912223157 | The Center for Child&family Development | Residential Treatment Facility, Emotionally Disturbed Children | 1930 Maple Ave, Zanesville, OH 43701-2238 | 2010-04-13 |
1619097052 | Redemption, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 11780 Western Reserve Rd, Salem, OH 44460-7619 | 2007-03-30 |
1699899864 | Charles Lamont Hankton | Residential Treatment Facility, Emotionally Disturbed Children | 5593 Carlton Dr, Bedford Hts, OH 44146-2329 | 2007-03-16 |
1548288350 | Talbert House | Residential Treatment Facility, Emotionally Disturbed Children | 9018 Cincinnati Columbus Rd, West Chester, OH 45069-3565 | 2006-07-18 |
1578528014 | Rosemont Center | Residential Treatment Facility, Emotionally Disturbed Children | 2440 Dawnlight Ave, Columbus, OH 43211-1934 | 2006-04-18 |
1740244284 | Oesterlen Services for Youth, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1918 Mechanicsburg Rd, Springfield, OH 45503-3147 | 2006-04-13 |
1184687030 | Oak Ridge Treatment Center Acq Corp | Residential Treatment Facility, Emotionally Disturbed Children | 115 Private Road 977 County Road 44 North, Pedro, OH 45659 | 2006-04-11 |
1528035631 | Positive Education Program | Residential Treatment Facility, Emotionally Disturbed Children | 3100 Euclid Ave, Cleveland, OH 44115-2508 | 2006-03-07 |
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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.