Lost Creek Holding, LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

31-5060 Issued in OH

Legal business name

LOST CREEK HOLDING, LLC

Practice address

2750 N Thayer Rd
Lima, OH 45801-8796

Phone

(419) 230-5446

NPI assigned

May 22, 2014

Organization subpart

No

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

Authorized official

Name

Diane Kay Tomlinson

Title

Ceo

Phone

(419) 230-5446

Specialties & licenses 2

Addresses

Other names 1

• All-STAR Health Solutions Doing business as

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499644800000",
    "number": "1174935324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 N THAYER RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458018796",
            "telephone_number": "419-230-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 N THAYER RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458018796",
            "telephone_number": "419-230-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOST CREEK HOLDING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-22",
        "last_updated": "2017-07-10",
        "status": "A",
        "authorized_official_last_name": "TOMLINSON",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-230-5446"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OH",
            "license": "31-5060",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "OH",
            "license": "31-5060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All-STAR Health Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenneth Long
• Kylie A Longmeier
• Emily Looser
• Lost Creek Care Center
• Lost Creek Center for Living LLC
• Amanda D Lott, CNP
• Curtis L Lott
• Monica Lynn Lott
• Jeannette Marie Lotzer
• Nassim Lamine Louail, MD

• Preferred Provider Organization in Lima, OH
• Providers in Lima, OH by specialty
• Preferred Provider Organization in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2017; 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.