LORAIN COUNTY ALCOHOL & DRUG ABUSE SERVICES, INC. (NPI# 1912930314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912930314 |
Entity Type | Organization |
Organization Name | LORAIN COUNTY ALCOHOL & DRUG ABUSE SERVICES, INC. |
Practice Address |
2115 W Park Dr Lorain OH 44053-1138 |
Practice Telephone | 4402824777 |
Practice Fax Number | 4402824779 |
Mailing Telephone | 4402824777 |
Mailing Fax Number | 4402824779 |
Enumeration Date | 2006-07-09 |
Last Update Date | 2019-06-19 |
Authorized Official Name | MR. JOSEPH C. CARVER (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 4409894981 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | 2147 | OH | Residential Treatment Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053659607 | Lorain County Alcohol & Drug Abuse Services, Inc. | Community/Behavioral Health | 2115 W Park Dr, Lorain, OH 44053-1138 | 2013-01-16 |
Street Address |
2115 W PARK DR |
City | LORAIN |
State | OH |
Zip Code | 44053-1138 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215548185 | Alyssa L Tennant | Counselor | 2115 W Park Dr, Lorain, OH 44053-1138 | 2020-08-13 |
1881217545 | Daniel Laurence Gainer | Counselor | 2115 W Park Dr, Lorain, OH 44053-1138 | 2020-05-28 |
1962032433 | Nathan A Boggs | Counselor | 2115 W Park Dr, Lorain, OH 44053-1138 | 2020-01-23 |
1609415157 | Laura K Zannoni | Counselor | 2115 W Park Dr, Lorain, OH 44053-1138 | 2020-01-02 |
1992343404 | Amber Stottlemire | Counselor | 2115 W Park Dr, Lorain, OH 44053-1138 | 2019-12-16 |
1861039984 | Danielle N Hommel | Counselor | 2115 W Park Dr, Lorain, OH 44053-1138 | 2019-12-09 |
1457994428 | Megan Eaton | Counselor | 2115 W Park Dr, Lorain, OH 44053-1138 | 2019-10-23 |
1164065256 | Tyleeta J Madison | Counselor | 2115 W Park Dr, Lorain, OH 44053-1138 | 2019-10-22 |
1659931863 | Shannon K Twining | Counselor | 2115 W Park Dr, Lorain, OH 44053-1138 | 2019-06-19 |
1376103598 | Amanda L Myers | Registered Nurse | 2115 W Park Dr, Lorain, OH 44053-1138 | 2019-06-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386242196 | Yokita Maria Thomas | Homemaker | 4818 Ashland Ave, Lordin, OH 44053 | 2020-10-14 |
1497353445 | Matthew George Simkovich | Homemaker | 4366 Jenee Dr, Lorain, OH 44053 | 2020-10-13 |
1881229979 | Christine Wilson | Physical Therapist | 5940 Oak Point Rd., Lorain, Lorain, OH 44053 | 2020-03-09 |
1912538760 | Barry Delaney Masin | Student in an Organized Health Care Education/Training Program | 2704 West Erie Avenue, Lorain, OH 44053 | 2020-01-30 |
1275171399 | Martina Beato | Social Worker | The Nord Center 6140 S. Broadway, Lorain, OH 44053 | 2019-12-19 |
1285279802 | Tivan LLC | Non-emergency Medical Transport (VAN) | 5821 Williamsburg Dr., Lorain, OH 44053 | 2019-11-07 |
1023650843 | Candace Taber | Case Manager/Care Coordinator | 6140 South Broadway, Lorain, OH 44053 | 2019-10-14 |
1265956098 | Phillip H Emerson | Social Worker | 1740 Cooper Foster Park Road East, Lorain, OH 44053 | 2017-08-02 |
1447796750 | Kafilat Idowu Kelani | Nurse Practitioner | 3700 Kolbe Rd, Lorain, Lorain, OH 44053 | 2017-01-10 |
1083075808 | Mark B Applegate | Counselor | 2115 West Park Drive, Lorain, OH 44053 | 2016-03-08 |
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Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679506646 | Compass House | Substance Abuse Rehabilitation Facility | 2926 Wood Ave, Lorain, OH 44055-1624 | 2006-07-10 |
NPI | Name | Taxonomy | Address | Enumeration |
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1588270128 | Findlay Center for Recovery | Substance Abuse Rehabilitation Facility | 1800 Manor Hill Rd, Findlay, OH 45840-6612 | 2020-09-18 |
1093324352 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7745 Ivygate Lane, Cincinnati, OH 45242 | 2020-07-23 |
1467060764 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7745 Ivygate Ln, Montgomery, OH 45242-5119 | 2020-07-22 |
1265040554 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7172 Pfeiffer Road, Cincinnati, OH 45242 | 2020-07-22 |
1144838442 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 10519 Cinderella Drive, Cincinnati, OH 45242 | 2020-07-22 |
1114535978 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 4365 Classic Dr, Blue Ash, OH 45241-2205 | 2020-07-17 |
1740800077 | Cairn Recovery Resources LLC | Substance Abuse Rehabilitation Facility | 217 Muskingum Ave, Zanesville, OH 43701-4957 | 2020-04-16 |
1013543982 | New Life Recovery, LLC | Substance Abuse Rehabilitation Facility | 14761 State Route 93 Unit 4, Jackson, OH 45640-9820 | 2020-03-23 |
1104450063 | Quest Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 401 W High St Ste 9, Mount Vernon, OH 43050-2346 | 2020-02-28 |
1922638634 | Randall Jay Smith | Substance Abuse Rehabilitation Facility | 1321 S Westwood Dr, Zanesville, OH 43701-5650 | 2020-01-22 |
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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.