Organization Active NPI

Lucas Place

  • Substance Abuse Rehabilitation Facility
  • Parma, OH
National Provider Identifier
1013894153
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
LUCAS PLACE
Practice address
4304 Walter Ave
Parma, OH 44134-2150
Phone
(440) 879-1258
NPI assigned
Aug 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rachel Petrick, CNP
Title
Tax Id Owner
Phone
(440) 879-1258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

4304 Walter Ave
Parma, OH 44134-2150

Mailing address

15400 Pearl Rd Ste 238
Strongsville, OH 44136-6000
Phone (440) 879-1258

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1013894153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15400 PEARL RD STE 238",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441366000",
            "telephone_number": "440-879-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4304 WALTER AVE",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441342150",
            "telephone_number": "440-879-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCAS PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "PETRICK",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "TAX ID OWNER",
        "authorized_official_telephone_number": "440-879-1258",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.