Lake County Young Men's Christian Association

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

LAKE COUNTY YOUNG MEN'S CHRISTIAN ASSOCIATION

Practice address

933 Mentor Ave
Painesville, OH 44077-2519

Phone

(440) 354-5656

NPI assigned

Nov 30, 2016

Last updated

Nov 30, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert E. Diak

Title

Coo

Phone

(440) 354-5656

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1346783941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 MENTOR AVE",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440772519",
            "telephone_number": "440-354-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 MENTOR AVE",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440772519",
            "telephone_number": "440-354-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE COUNTY YOUNG MEN'S CHRISTIAN ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-30",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "DIAK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "440-354-5656"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Cardiology Inc
• Lake County and West Ekg Associates
• Lake County Around the Clock (Around the Clock Home Care)
• Lake County Free Clinic
• Lake County Sheriffs Office Jail Treatment Program
• Lake Erie Bilingual Academy
• Lake Health
• Lake Heart Center LLC
• Lake Hospital System, Inc
• Lake Hospital System, Inc. (Lake Health Physician Group Painesville Internal Medicine)

• Health Educator in Painesville, OH
• Providers in Painesville, OH by specialty
• Health Educator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.