LAKEWOOD SENIOR HEALTH CAMPUS (NPI# 1275787798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275787798 |
| Entity Type | Organization |
| Organization Name | LAKEWOOD SENIOR HEALTH CAMPUS |
| Other Organization Name | LAKEWOOD - LABORATORY |
| Practice Address |
13900 Detroit Ave Lakewood OH 44107-4624 |
| Practice Telephone | 2162287650 |
| Mailing Telephone | 2162287650 |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2008-11-11 |
| Authorized Official Name | MR. JOHN T. O'NEILL (MANAGING MEMBER) |
| Authorized Official Telephone | 4403279777 |
| Is Organization Subpart | Y |
| Parent Organization Name | O'NEILL MANAGEMENT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 36D0336091 | OH | Laboratories |
| Other Name | Type Code |
|---|---|
| Lakewood - Laboratory | Doing Business As Name - Organization |
| Street Address |
13900 DETROIT AVE |
| City | LAKEWOOD |
| State | OH |
| Zip Code | 44107-4624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114935392 | Lakewood Senior Campus, LLC | Skilled Nursing Facility | 13900 Detroit Ave, Lakewood, OH 44107-4624 | 2006-08-04 |
| 1679096630 | Amber Brooke Hyland | Nurse Practitioner | 13900 Detroit Ave, Lakewood, OH 44107-4624 | 2017-07-21 |
| 1194066118 | Jodi Leann Parker | Licensed Practical Nurse | 13900 Detroit Ave, Lakewood Senior Health Campus, Lakewood, OH 44107-4624 | 2013-03-15 |
| 1497029946 | Ohio Renal Care Group LLC | Clinic/Center | 13900 Detroit Ave, Lakewood, OH 44107-4624 | 2012-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326522210 | Lawrence M Roth | Social Worker | 14701 Detroit Ave Ste 363, Lakewood, OH 44107 | 2018-09-18 |
| 1376065730 | Fareeha Khan | Internal Medicine | 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 | 2017-07-07 |
| 1912433756 | Julie Ann Foucher-urcuyo | Family Medicine | 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 | 2017-05-11 |
| 1225563661 | Elizabeth Ann Rainbolt | Family Medicine | 14601 Detroit Ave Fl 2, Lakewood, OH 44107 | 2017-04-24 |
| 1255882551 | Kristen Murray | Dietitian, Registered | 14900 Detroit Ave Ste 207, Lakewood, OH 44107 | 2016-10-21 |
| 1265828131 | David Thomas Jonke | Dentist | 15640 Madison Ave., Lakewood, OH 44107 | 2015-04-08 |
| 1760885941 | Debra Watkins | Home Health Aide | 1510 Newman Ave Apt 406, Lakewood, OH 44107 | 2014-10-02 |
| 1396155198 | Monica M Owen | Occupational Therapist | 9200 Biddulph Rd., Brooklyn, OH 44107 | 2014-05-01 |
| 1730512229 | Marsha Elaine Favors | Licensed Practical Nurse | 1448 Lakeland Ave, Lakewood, OH 44107 | 2013-08-20 |
| 1508130006 | Ruth Rachel Raciniewski | Counselor | 15200 Madison Avenue, Lakewood, OH 44107 | 2012-03-01 |
| Find all providers in zip 44107 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902376924 | Laboratory Corporation of America | Clinical Medical Laboratory | 7444 W Alaska Dr Ste 250, Lakewood, CO 80226-3328 | 2018-12-03 |
| 1003029745 | Saint Clare Hospital | Clinical Medical Laboratory | 11315 Bridgeport Way Se, Lakewood, WA 98499-3004 | 2007-05-08 |
| 1871109512 | Quest Diagnostics LLC Il | Clinical Medical Laboratory | 3595 S Teller St, Lakewood, CO 80235-2014 | 2020-09-18 |
| 1609377100 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 165 S Union Blvd Ste 800, Lakewood, CO 80228-2213 | 2018-02-21 |
| 1528418936 | Laboratory Corporation of America | Clinical Medical Laboratory | 7424 Bridgeport Way W, Suite 201, Lakewood, WA 98499-8120 | 2016-06-16 |
| 1770910879 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1771 Madison Ave, Lakewood, NJ 08701-1242 | 2013-10-03 |
| 1720352974 | Kaiser Foundation Health Plan of Colorado | Clinical Medical Laboratory | 8383 W Alameda Ave, Lakewood, CO 80226-3007 | 2012-03-06 |
| 1669792834 | Laboratory Corporation of America | Clinical Medical Laboratory | 165 S Union Blvd, Ste 800, Lakewood, CO 80228-2215 | 2010-06-10 |
| 1710216650 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 5920 100th St Sw, Ste 29, Lakewood, WA 98499-2751 | 2009-12-23 |
| 1417190034 | Dry Creek Imaging, LLC | Clinical Medical Laboratory | 14062 Denver West Pkwy, Ste. 180 Bldg 52, Lakewood, CO 80401-3187 | 2009-04-13 |
| Find all providers in LAKEWOOD | ||||
Please comment or provide details below to improve the information on LAKEWOOD SENIOR HEALTH CAMPUS.
| 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.