LAUREL LAKE RETIREMENT COMMUNITY, INC. (NPI# 1295728905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295728905 |
| Entity Type | Organization |
| Organization Name | LAUREL LAKE RETIREMENT COMMUNITY, INC. |
| Practice Address |
200 Laurel Lake Dr Hudson OH 44236-2156 |
| Practice Telephone | 3306551402 |
| Practice Fax Number | 3306551700 |
| Mailing Telephone | 3306551402 |
| Mailing Fax Number | 3306551700 |
| Enumeration Date | 2005-08-27 |
| Last Update Date | 2012-03-27 |
| Authorized Official Name | MRS. STEPHANIE COVAS (ADMINISTRATOR) |
| Authorized Official Telephone | 3306551402 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 4131 | OH | Nursing & Custodial Care Facilities |
| Street Address |
200 LAUREL LAKE DR |
| City | HUDSON |
| State | OH |
| Zip Code | 44236-2156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427603810 | Elizabeth Reitinger | Occupational Therapy Assistant | 200 Laurel Lake Dr, Hudson, OH 44236-2156 | 2019-08-02 |
| 1306315544 | Mary Beth Mosier | Physical Therapy Assistant | 200 Laurel Lake Dr, Hudson, OH 44236-2156 | 2018-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881195477 | Amber Sommer | Dietitian, Registered | 1742 Georgetown Road, Hudson, OH 44236 | 2018-02-28 |
| 1184149585 | Elena A Berman | Technician | 2654 Blue Heron Dr, Hudson, OH 44236 | 2017-08-07 |
| 1114390671 | Costco Wholesale Corporation | Pharmacy | 6720 Bass Pro Rd, Boston Heights, OH 44236 | 2015-11-05 |
| 1972975803 | Costco Wholesale Corporation | Hearing Aid Equipment | 6720 Bass Pro Drive, Boston Heights, OH 44236 | 2015-10-30 |
| 1841695624 | The Hair Specialists | Anaplastologist | 180 W. Streetsboro St, Hudson, OH 44236 | 2014-10-23 |
| 1326441163 | Haley E Dunn | Counselor | 10 W. Streetsboro St., 107, Hudson, OH 44236 | 2014-10-08 |
| 1538578000 | Hudson Elms | Skilled Nursing Facility | 563 West Streetsboro Street, Hudson, OH 44236 | 2014-08-08 |
| 1316375215 | Mary Meghan Folino Hylton | Nurse Practitioner | 5655 Hudson Dr Ste 301, Hudson, OH 44236 | 2013-10-31 |
| 1225382708 | Stamatios Tripodis | Physical Therapist | 1310 Corporate Drive, Hudson, OH 44236 | 2012-11-05 |
| 1881943199 | Susan Belle Ujvari | Licensed Practical Nurse | 1661 Sapphire Drive, Hudson, OH 44236 | 2012-08-31 |
| Find all providers in zip 44236 | ||||
| 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 |
|---|---|---|---|---|
| 1174905087 | Aegis Therapies | Skilled Nursing Facility | 900 Colonial Dr, Hudson, WI 54016-1936 | 2015-06-26 |
| 1538578000 | Hudson Elms | Skilled Nursing Facility | 563 West Streetsboro Street, Hudson, OH 44236 | 2014-08-08 |
| 1619232337 | Hudson Health and Rehabilitation Center, Inc. | Skilled Nursing Facility | 1212 Barlow Rd, Hudson, OH 44236-3713 | 2012-07-09 |
| 1689821399 | Janet Pelletier | Skilled Nursing Facility | 46 Rangers Dr, Hudson, NH 03051-3534 | 2008-08-25 |
| 1033136858 | Health Center of Hudson Inc | Skilled Nursing Facility | 7210 Beacon Woods Dr, Hudson, FL 34667-1974 | 2006-07-16 |
| 1285679597 | Bear Creek Nursing Center, LLC | Skilled Nursing Facility | 8041 State Road 52, Hudson, FL 34667-6726 | 2006-06-19 |
| 1417997214 | Tandem Health Care of Bayonet Point, Inc. | Skilled Nursing Facility | 8132 Hudson Ave, Hudson, FL 34667-8571 | 2006-06-08 |
| 1366400103 | Hudson Health Care, Inc. | Skilled Nursing Facility | 563 W Streetsboro St, Hudson, OH 44236-2050 | 2006-05-02 |
| 1053308122 | Ward Enterprises LLP | Skilled Nursing Facility | 720 Parkway, Hudson, SD 57034 | 2005-10-04 |
| 1568459840 | Christian Community Home of Hudson, Inc | Skilled Nursing Facility | 1320 Wisconsin St, Hudson, WI 54016-1861 | 2005-10-03 |
| Find all providers in HUDSON | ||||
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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.