LUTHERAN HOSPITAL (NPI# 1003854951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003854951 |
| Entity Type | Organization |
| Organization Name | LUTHERAN HOSPITAL |
| Practice Address |
1730 W 25th St Cleveland OH 44113-3108 |
| Mailing Address |
6801 Brecksville Rd Suite 20 Rk10 Independence OH 44131-5032 |
| Practice Telephone | 2166964300 |
| Mailing Telephone | 2166368051 |
| Mailing Fax Number | 2166368088 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. STEVEN GLASS (CFO) |
| Authorized Official Telephone | 2164449361 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 1149 | OH | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM | 000000074006 | 01 | |
| AETNA | 0064535 | 01 | |
| KAISER | 100135 | 01 | |
| UNITED HEALTHCARE | 5381656 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962437947 | Lutheran Hospital | Psychiatry & Neurology | 1730 W 25th St, Cleveland, OH 44113-3108 | 2006-07-11 |
| 1194763045 | Lutheran Hospital | General Acute Care Hospital | 1730 W 25th St, Cleveland, OH 44113-3108 | 2006-06-03 |
| 1558309401 | Lutheran Hospital | Rehabilitation Unit | 1730 W 25th St, Cleveland, OH 44113-3108 | 2006-06-03 |
| 1912950551 | Lutheran Hospital | Skilled Nursing Facility | 1730 W 25th St, Cleveland, OH 44113-3108 | 2006-05-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LUTHERAN HOSPITAL - LA CROSSE | 1900 South Avenue, La Crosse, WI 54601-5467 |
| Colorado Business Entities | LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY | 106 Blanca Ave, Alamosa, CO 81101 |
| Street Address |
1730 W 25TH ST |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44113-3108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821092602 | Mark H Frankel | Psychiatry & Neurology | 1730 W 25th St, Ste 2a, Cleveland, OH 44113-3108 | 2005-06-09 |
| 1134746696 | Anna Caraboolad | Nurse Practitioner | 1730 W 25th St, Cleveland, OH 44113-3108 | 2020-07-01 |
| 1497372189 | Alexandria Mancuso | Nurse Practitioner | 1730 W 25th St, Cleveland, OH 44113-3108 | 2020-06-29 |
| 1073132007 | Paulina Michalik | Registered Nurse | 1730 W 25th St, Cleveland, OH 44113-3108 | 2020-04-09 |
| 1023641099 | Miguel Angel Melendez | Nurse Practitioner | 1730 W 25th St, Cleveland, OH 44113-3108 | 2020-02-19 |
| 1942847017 | Renessa Banks | Social Worker | 1730 W 25th St, Cleveland, OH 44113-3108 | 2019-12-06 |
| 1487298527 | Anica Bulat | Nurse Practitioner | 1730 W 25th St, Cleveland, OH 44113-3108 | 2019-11-01 |
| 1811457203 | Alyson Bobulsky | Nurse Practitioner | 1730 W 25th St, Cleveland, OH 44113-3108 | 2019-03-21 |
| 1831663715 | Lori Ann Kauchuk | Social Worker | 1730 W 25th St, Cleveland, OH 44113-3108 | 2019-01-14 |
| 1578035143 | Thomas Corcoran Connelly | Counselor | 1730 W 25th St, Cleveland, OH 44113-3108 | 2018-12-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617867 | The Music School Settlement | Point of Service | 1260 Detroit Ave, Cleveland, OH 44113 | 2020-10-22 |
| 1972101012 | Cindy Ann Kozlik | Peer Specialist | 600 W.superior Ave, Cleveland, OH 44113 | 2020-10-12 |
| 1023596343 | Jennifer Lauren Lee Miller | Nurse Practitioner | 1133 W 9th St Apt 312, Cleveland, OH 44113 | 2018-07-30 |
| 1912437740 | Uche V Okaro-anoliefo | Social Worker | 1276 W 3rd Street, Suite 210, Cleveland, OH 44113 | 2017-06-14 |
| 1043766793 | Keara Mullen | Counselor | 3500 Carnegie, Cleveland, OH 44113 | 2016-08-31 |
| 1538518956 | Michele Buddner | Licensed Practical Nurse | 1320 Washington Avenue, Cleveland, OH 44113 | 2016-06-07 |
| 1902206600 | Nilda Daleccio | Counselor | 1515 West 15th Street, Cleveland, OH 44113 | 2014-08-29 |
| 1346649068 | Arielle Mariah Dean | Massage Therapist | 1370 Ontario St Suite #400, Cleveland, OH 44113 | 2014-08-19 |
| 1568882967 | Lynette Evans | Speech-Language Pathologist | 1701 Castle Ave., Luis Munoz Marin School, Cleveland, OH 44113 | 2014-04-24 |
| 1841610433 | Sherdina Williams | Registered Nurse | 4605 Woodbine Avenure, Garrett Morgan School, Cleveland, OH 44113 | 2014-04-22 |
| Find all providers in zip 44113 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023630761 | Winter Spring Health Services | Psychiatric Unit | 13509 Highlandview Ave, Cleveland, OH 44135-1622 | 2020-05-16 |
| 1053944967 | University Hospitals Cleveland Medical Center | Psychiatric Unit | 5805 Euclid Ave Ste 100, Cleveland, OH 44103-3715 | 2020-02-19 |
| 1306142062 | Phc-cleveland Inc | Psychiatric Unit | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2011-01-28 |
| 1669559811 | University Hospitals Cleveland Medical Center | Psychiatric Unit | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2006-11-01 |
| 1376579532 | Southwest General Health Center | Psychiatric Unit | 18697 Bagley Rd, Cleveland, OH 44130-3417 | 2006-06-22 |
| 1881631471 | Metrohealth System | Psychiatric Unit | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2006-06-01 |
| 1245283050 | Cleveland Clinic Health System - East Region | Psychiatric Unit | 13951 Terrace Rd, Cleveland, OH 44112-4308 | 2006-05-19 |
| 1154395820 | St Vincent Charity Medical Center | Psychiatric Unit | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2006-02-17 |
| 1831160753 | Cleveland Tennessee Hospital Company LLC | Psychiatric Unit | 2800 Westside Dr Nw, Cleveland, TN 37312-3501 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447814942 | Bluestone Child and Adolescent Psychiatric Hospital | Psychiatric Unit | 2575 S. Belvoir Blvd., University Heights, OH 44118 | 2019-04-30 |
| 1093256059 | Usaf | Psychiatric Unit | 418 Shrewsbury St, Holland, OH 43528-8568 | 2017-03-10 |
| 1235493990 | Mifflin Youth Group | Psychiatric Unit | 1688 Schrock Rd, Columbus, OH 43229-1500 | 2012-06-27 |
| 1851547392 | Ipg Rs LLC | Psychiatric Unit | 17872 Lincoln Hwy, Middle Point, OH 45863-9700 | 2008-08-15 |
| 1649441817 | Western Ohio Psychiatric Institute, LLC | Psychiatric Unit | 601 Edwin Moses Boulevard, Dayton, OH 45408 | 2008-03-17 |
| 1073568994 | Windsor Hospital | Psychiatric Unit | 115 E Summit St, Chagrin Falls, OH 44022-2711 | 2006-05-23 |
| 1457314502 | Medical University of Ohio At Toledo | Psychiatric Unit | 3000 Arlington Ave # Ms 1166, Toledo, OH 43614-2595 | 2006-04-10 |
| 1598765000 | Defiance Hospital Inc. | Psychiatric Unit | 1200 Ralston Ave, Defiance, OH 43512-1396 | 2005-07-26 |
| 1124513866 | Markella Whetzel | Psychiatric Unit | 22001 Fairmount Blvd, Shaker Heights, OH 44118-4897 | 2018-06-26 |
| 1144742537 | Community Mercy Health Partners | Psychiatric Unit | 904 Scioto St, Urbana, OH 43078 | 2017-07-07 |
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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.