Lakewood Hospital Association

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1134 Issued in OH

Legal business name

LAKEWOOD HOSPITAL ASSOCIATION

Practice address

14519 Detroit Ave
Lakewood, OH 44107-4316

Phone

(216) 521-4200

NPI assigned

Jun 3, 2006

Organization subpart

No

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

Authorized official

Name

Steven Glass

Title

Cfo

Phone

(216) 444-9361

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Lakewood Hospital Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Cleveland Clinic Foundation

  • Durable Medical Equipment & Medical Supplies
  • Sheffield Village, OH
  • NPI 1942405741

  Member Of

  NPD member

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1497793251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 BRECKSVILLE RD",
            "address_2": "SUITE 20 RK10",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441315032",
            "telephone_number": "216-636-8051",
            "fax_number": "216-636-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14519 DETROIT AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074316",
            "telephone_number": "216-521-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "216-444-9361"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "521890",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL OF OHIO",
            "identifier": "000000233098",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "100748",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4923882",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "760430",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000233098",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakewood Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lakewood Health Care Center, Inc.
• Lakewood Hospital Association
• Lakewood Hospital Association
• Lakewood Hospital Association
• Lakewood Hospital Association
• Lakewood Hospital Association
• Lakewood Hospital Professional Services
• Lakewood Pain Management & Chiropractic LLC
• Lakewood Pediatrics
• Lakewood Senior Campus, LLC

• Skilled Nursing Facility in Lakewood, OH
• Providers in Lakewood, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.