LAKEWOOD HOSPITAL ASSOCIATION (NPI# 1497793251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497793251 |
Entity Type | Organization |
Organization Name | LAKEWOOD HOSPITAL ASSOCIATION |
Other Organization Name | LAKEWOOD HOSPITAL |
Practice Address |
14519 Detroit Ave Lakewood OH 44107-4316 |
Mailing Address |
6801 Brecksville Rd Suite 20 Rk10 Independence OH 44131-5032 |
Practice Telephone | 2165214200 |
Mailing Telephone | 2166368051 |
Mailing Fax Number | 2166368088 |
Enumeration Date | 2006-06-03 |
Last Update Date | 2009-03-12 |
Authorized Official Name | STEVEN GLASS (CFO) |
Authorized Official Telephone | 2164449361 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 1134 | OH | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ANTHEM | 000000233098 | 01 | |
OH | 4923882 | 05 | |
KAISER | 100748 | 01 | |
AETNA | 521890 | 01 | |
OH | 760430 | 05 | |
OH | MEDICAL MUTUAL OF OHIO | 000000233098 | 01 |
Other Name | Type Code |
---|---|
Lakewood Hospital | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386089670 | Lakewood Hospital Association | Pharmacy | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2013-05-01 |
1205933512 | Lakewood Hospital Association | Emergency Medicine | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2006-09-20 |
1437192507 | Lakewood Hospital Association | Psychiatric Unit | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2006-06-14 |
1972541837 | Lakewood Hospital Association | Rehabilitation Unit | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2006-06-03 |
1447203989 | Lakewood Hospital Association | General Acute Care Hospital | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2006-05-18 |
Street Address |
14519 DETROIT AVE |
City | LAKEWOOD |
State | OH |
Zip Code | 44107-4316 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902895493 | Umarani Ramachandran | Pediatrics | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2005-10-18 |
1831584804 | Michelle Palcsik | Dietitian, Registered | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2015-04-06 |
1114318029 | Jessica Schreiner | Dietitian, Registered | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2015-02-13 |
1932516424 | Beth Tibbitts | Social Worker | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2014-07-16 |
1811309461 | Jessica Bennett | Physical Therapist | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2014-05-29 |
1104238237 | Michelle Kellicker | Physical Therapist | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2014-05-23 |
1386056687 | Andrew Morgan Cluts | Physical Therapist | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2014-05-21 |
1558772103 | Tamara Hunt | Physical Therapist | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2014-05-16 |
1114338001 | Kristen Louise Gallo | Physical Therapist | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2014-05-13 |
1902216773 | Timothy Hirzel | Physical Therapist | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2014-05-02 |
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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 | 314000000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Skilled Nursing Facility |
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
NPI | Name | Taxonomy | Address | Enumeration |
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1124656202 | Bedrock Hcs At Daytona Fl LLC | Skilled Nursing Facility | 1776 Avenue of The States Ste 301, Lakewood, NJ 08701-4592 | 2020-04-01 |
1871154419 | Ahc of Lakewood, LLC | Skilled Nursing Facility | 1565 Pierson Street, Lakewood, CO 80215 | 2019-06-25 |
1639631104 | West Salem Operations LLC | Skilled Nursing Facility | 23 Shenandoah Dr, Lakewood, NJ 08701-4979 | 2019-04-03 |
1720520729 | Meghan Ricketson | Skilled Nursing Facility | 5962 W Pacific Cir, Lakewood, CO 80227-2583 | 2016-11-08 |
1932564994 | Loveland Elder Green House Homes for Life Enhancement | Skilled Nursing Facility | 12136 W Bayaud Ave Ste 200, Lakewood, CO 80228-2115 | 2015-12-17 |
1598176828 | Loveland Elder Green House Homes for Life Enrichment A Colorado Non | Skilled Nursing Facility | 12136 W Bayaud Ave, Suite 200, Lakewood, CO 80228-2115 | 2014-05-08 |
1588089676 | 7395 W Eastman Place Operations LLC | Skilled Nursing Facility | 7395 W. Eastman Place, Lakewood, CO 80227-1234 | 2014-02-26 |
1275855058 | Azura of Lakewood, LLC | Skilled Nursing Facility | 7395 West Eastman Place, Lakewood, CO 80227-5039 | 2010-02-22 |
1922147784 | W IIi, Inc. | Skilled Nursing Facility | 1655 Eaton St, Lakewood, CO 80214-1628 | 2007-02-06 |
1750431912 | Mile High Care Services LLC | Skilled Nursing Facility | 115 Ingalls St, Lakewood, CO 80226-1815 | 2007-01-11 |
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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.