NPIMap

Organization Active NPI

Living Opportunities Inc.

Doing business as Lakeland

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Madison, OH
National Provider Identifier
1356484315
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
LIVING OPPORTUNITIES INC.
Doing business as
Lakeland
Practice address
3142 County Line Rd
Madison, OH 44057-9705
Phone
(440) 466-1678
Fax
(440) 466-5696
NPI assigned
Feb 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
William Austin, LNHA
Title
Adminitrator
Phone
(440) 466-1678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X OH Primary

Addresses

Primary practice location

3142 County Line Rd
Madison, OH 44057-9705

Mailing address

3142 County Line Rd
PO Box 271
Geneva, OH 44041-9705
Phone (440) 466-1678

Other names 1

  • Lakeland Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356484315. Details of each certification follow.

  • CCN 36G025 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 36G025

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
LAKELAND
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Feb 27, 1978
Last certification
Oct 12, 2023
Beds
15
Ownership / control type
Private (proprietary)
Facility address
3142 South County Line Road
Madison, OH 44057

National Provider Directory

National Provider Directory
Tax ID family
Living Opportunities Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3142 N County Line Rd
Geneva, OH 44041

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356484315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3142 COUNTY LINE RD",
            "address_2": "PO BOX 271",
            "city": "GENEVA",
            "state": "OH",
            "postal_code": "440419705",
            "telephone_number": "440-466-1678",
            "fax_number": "440-466-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3142 COUNTY LINE RD",
            "city": "MADISON",
            "state": "OH",
            "postal_code": "440579705",
            "telephone_number": "440-466-1678",
            "fax_number": "440-466-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING OPPORTUNITIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "ADMINITRATOR",
        "authorized_official_telephone_number": "440-466-1678",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, OH

Sources for this page

Verify at the official NPI Registry.