St. Luke Lutheran Community - Portage Lakes

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ST. LUKE LUTHERAN COMMUNITY - PORTAGE LAKES

Practice address

615 Latham LN
New Franklin, OH 44319-4338

Phone

(330) 644-3914

Fax

(330) 644-8966

NPI assigned

Dec 30, 2020

Organization subpart

Yes

Parent organization

ST. LUKE LUTHERAN COMMUNITY - PORTAGE LAKESAs reported in NPPES

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

Authorized official

Name

Joyce L Mohler

Title

Cfo

Phone

(330) 499-8341

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

St Luke Lutheran Community - Portage Lakes2 organizations share this tax ID, including this one

Part of

St Luke Lutheran Community - Portage Lakes

Other organizations with this tax ID 1

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

• St. Luke Lutheran Community - Portage Lakes

  • Skilled Nursing Facility
  • Akron, OH
  • NPI 1508952185
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• St. Luke Lutheran Community - Portage Lakes

  • Skilled Nursing Facility
  • Akron, OH
  • NPI 1508952185
  NPPES parent name

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609286400000",
    "number": "1629665146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 APPLEGROVE ST NE",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447201610",
            "telephone_number": "330-499-8341",
            "fax_number": "330-497-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 LATHAM LN",
            "city": "NEW FRANKLIN",
            "state": "OH",
            "postal_code": "443194338",
            "telephone_number": "330-644-3914",
            "fax_number": "330-644-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE LUTHERAN COMMUNITY - PORTAGE LAKES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. LUKE LUTHERAN COMMUNITY - PORTAGE LAKES",
        "enumeration_date": "2020-12-30",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A",
        "authorized_official_last_name": "MOHLER",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "330-499-8341"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2444797",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzanne Saikaly, RN
• Don Shem
• Rebecca Shookman
• Deborah L Smith
• Snyder Consulting Services, LLC
• Jane Staufer
• Lynne Sutherland, D.M.D., M.S.
• Stacie Swain Massaro, HIS
• Brittany Terry, CDCA
• Ladonna Michelle Tompkins, RN

• Assisted Living Facility in New Franklin, OH
• Providers in New Franklin, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.