Stone Lake Daycare Center LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

STONE LAKE DAYCARE CENTER LLC

Practice address

144 N Columbus St
Sunbury, OH 43074-9223

Phone

(614) 348-3888

NPI assigned

Apr 6, 2016

Organization subpart

No

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

Authorized official

Name

Lisa Bower, RN

Title

Owner

Phone

(614) 348-3888

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1336503309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 N COLUMBUS ST",
            "city": "SUNBURY",
            "state": "OH",
            "postal_code": "430749223",
            "telephone_number": "614-348-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 N COLUMBUS ST",
            "city": "SUNBURY",
            "state": "OH",
            "postal_code": "430749223",
            "telephone_number": "614-348-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE LAKE DAYCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "BOWER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-348-3888",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3008060",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Smith, FNP-BC
• Heather Michelle Sperry
• Riley Stalter
• Addison Stern, DDS
• Paxton Nicholas Stern, DDS
• Kindra Stone-Thatcher
• Diane Sue Strait
• Mark Anthony Strait
• Sunbury Chiropractic Center Inc
• Sunbury Dental Group Joseph W Papp DDS LLC

• Developmentally Disabled Services Day Training Agency in Sunbury, OH
• Providers in Sunbury, OH by specialty
• Developmentally Disabled Services Day Training Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.