Active NPI
Lorain County Alcohol & Drug Abuse Services, Inc.
- Community/Behavioral Health Agency
- Lorain, OH
National Provider Identifier
1053659607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 2147
- Legal business name
- LORAIN COUNTY ALCOHOL & DRUG ABUSE SERVICES, INC.
- Practice address
- 2115 W Park Dr
Lorain, OH 44053-1138 - Phone
- (440) 282-4777
- Fax
- (440) 282-4779
- NPI assigned
- Jan 16, 2013
- Last updated
- Jun 19, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joseph C Carver
- Title
- Chief Financial Officer
- Phone
- (440) 989-4981
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 2147 | OH | Primary |
Addresses
Primary practice location
2115 W Park Dr
Lorain, OH 44053-1138
Mailing address
2115 W Park Dr
Lorain, OH 44053-1138
Phone (440) 282-4777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2863816 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- Lorain County Alcohol Drug Abuse Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Lorain, OH
- NPI 1912930314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560902400000",
"number": "1053659607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2115 W PARK DR",
"city": "LORAIN",
"state": "OH",
"postal_code": "440531138",
"telephone_number": "440-282-4777",
"fax_number": "440-282-4779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 W PARK DR",
"city": "LORAIN",
"state": "OH",
"postal_code": "440531138",
"telephone_number": "440-282-4777",
"fax_number": "440-282-4779"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LORAIN COUNTY ALCOHOL & DRUG ABUSE SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-16",
"last_updated": "2019-06-19",
"status": "A",
"authorized_official_last_name": "CARVER",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "440-989-4981",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "OH",
"license": "2147",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2863816",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lorain, OH
- Lorain ASC LP (Erie Shores Endoscopy Center)
- Lorain Bilingual Preparatory Academy
- Lorain Chiropractic Center Inc
- Lorain City Health Department
- Lorain City School District
- Lorain County Alcohol & Drug Abuse Services, Inc.
- Lorain County Board of DD
- Lorain County Community Action Agency
- Lorain County Health & Dentistry
- Lorain County Health & Dentistry
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.