NPIMap

Organization Active NPI

Gentlebrook

Doing business as Lafayette Meadows Family Home

  • Intellectual Disabilities Intermediate Care Facility
  • West Lafayette, OH
National Provider Identifier
1548514896
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
GENTLEBROOK
Doing business as
Lafayette Meadows Family Home
Practice address
21632 Pickwick St
Box 30
West Lafayette, OH 43845-9511
Phone
(740) 545-6366
NPI assigned
Nov 7, 2012
Last updated
Nov 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Authorized official

Name
Michael Dean Sleutz, LSW, QDDP
Title
Chief Operating Officer
Phone
(330) 877-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

21632 Pickwick St
Box 30
West Lafayette, OH 43845-9511

Mailing address

880 Sunnyside St SW
Hartville, OH 44632-9087
Phone (330) 877-7700

Other names 1

  • Lafayette Meadows Family Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Homestead18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1548514896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 SUNNYSIDE ST SW",
            "city": "HARTVILLE",
            "state": "OH",
            "postal_code": "446329087",
            "telephone_number": "330-877-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21632 PICKWICK ST",
            "address_2": "BOX 30",
            "city": "WEST LAFAYETTE",
            "state": "OH",
            "postal_code": "438459511",
            "telephone_number": "740-545-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLEBROOK",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-07",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "SLEUTZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "330-877-7700",
        "authorized_official_credential": "LSW, QDDP"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lafayette Meadows Family Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Lafayette, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.