Lakewood Health Care Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

4943 Issued in OH

Legal business name

LAKEWOOD HEALTH CARE CENTER, INC.

Doing business as

EnnisCourt

Practice address

13315 Detroit Ave
Lakewood, OH 44107-2849

Phone

(216) 226-3858

Fax

(216) 226-8344

NPI assigned

Jun 22, 2005

Last updated

Jun 26, 2019By 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

Mrs. Patrice M. Campbell, LNHANPI 1487540258

Title

President

Phone

(216) 226-3858

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• EnnisCourt Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699771089. Details of each certification follow.

• CCN 366266 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 366266

Legal name

LAKEWOOD HEALTH CARE CENTER, INC.

Doing business as

ENNIS COURT

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 15, 2003

Last certification

Sep 7, 2023

Beds

50

Ownership / control type

Individual

Organization structure

CorporationProprietary

Enrollment address

13315 Detroit Ave
Lakewood, OH 44107-2849

Nursing home name

ENNISCOURT NURSING CARE

Listed as

Enniscourt Nursing CareCCN 366266 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Individual

Certified

May 15, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5042.7 residents per day on average

Penalties (3 years)

1Fines totaling $40,803

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Lakewood Health Care Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Lakewood Health Care Center, Inc.

  dba EnnisCourt Assisted Living

  • Assisted Living Facility
  • Lakewood, OH
  • NPI 1134514961
  NPD tax ID

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Dayem Health Services LLC

  • Psychiatry Physician
  • Garfield Heights, OH
  • NPI 1497939599

  Adp of the SNF

  CMS ownership
• Michael Dayem, M.D.

  • Psychiatry Physician
  • Garfield Heights, OH
  • NPI 1255323432

  Adp of the SNF

  CMS ownership
• Nitin Govani, MD

  • Internal Medicine Physician
  • Lakewood, OH
  • NPI 1619079050

  Adp of the SNF

  CMS ownership

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Somerset Care Inc.

  dba Meadow View Nursing Center

  • Skilled Nursing Facility
  • Berlin, PA
  • NPI 1972506954

  Premier Therapy LLC

  CMS ownership

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Lakewood Health Care Center, Inc.

  dba EnnisCourt Assisted Living

  • Assisted Living Facility
  • Lakewood, OH
  • NPI 1134514961
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patrice Campbell, LNHA

  • Nursing Facility/Intermediate Care Facility
  • Lakewood, OH
  • NPI 1487540258
  Authorized official Same address or phone
• Vasyl Magura, RN. LNHA

  • Registered Nurse
  • Parma, OH
  • NPI 1043564339
  NPD
• Nitin Govani, MD

  • Internal Medicine Physician
  • Lakewood, OH
  • NPI 1619079050
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Nitin Govani, MD

  • Internal Medicine Physician
  • Lakewood, OH
  • NPI 1619079050

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561507200000",
    "number": "1699771089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13315 DETROIT AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441072849",
            "telephone_number": "216-226-3858",
            "fax_number": "216-226-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13315 DETROIT AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441072849",
            "telephone_number": "216-226-3858",
            "fax_number": "216-226-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD HEALTH CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2019-06-26",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-226-3858",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "5803",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OH",
            "license": "4943",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "4943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0375964",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EnnisCourt",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EnnisCourt",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lakewood Dental Partners, LLC
• Lakewood Dermatology
• Lakewood Foundation (A New Day)
• Lakewood Functional Rehab
• Lakewood Health Care Center, Inc. (EnnisCourt Assisted Living)
• Lakewood Hospital Association
• Lakewood Hospital Association (Lakewood Hospital)
• Lakewood Hospital Association (Lakewood Hospital)
• Lakewood Hospital Association (Lakewood Hospital)
• Lakewood Hospital Association (Lakewood Hospital)

• 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 Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.