NPIMap

Organization Active NPI

Lake County Sheriffs Office Jail Treatment Program

  • Community/Behavioral Health Agency
  • Painesville, OH
National Provider Identifier
1699863316
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6655 Issued in OH
Legal business name
LAKE COUNTY SHERIFFS OFFICE JAIL TREATMENT PROGRAM
Practice address
104 East Erie Street
Suite 320
Painesville, OH 44077-3910
Phone
(440) 350-5669
Fax
(440) 350-5668
NPI assigned
Oct 10, 2006
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
Mr. Lawrence Smith Jr., BA CCDCIIIE
Title
Program Director
Phone
(440) 350-5669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6655 OH Primary

Addresses

Primary practice location

104 East Erie Street
Suite 320
Painesville, OH 44077-3910

Mailing address

104 East Erie Street
Lake County Sheriffs Office Suite 320
Painesville, OH 44077-3910
Phone (440) 350-5669

National Provider Directory

National Provider Directory
Tax ID family
County of Lake Court House4 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

104 E Erie St
Ofc
Painesville, OH 44077

104 E Erie St
Ste 320
Painesville, OH 44077
Phone (440) 350-5669

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699863316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 EAST ERIE STREET",
            "address_2": "LAKE COUNTY SHERIFFS OFFICE SUITE 320",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440773910",
            "telephone_number": "440-350-5669",
            "fax_number": "440-350-5668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 EAST ERIE STREET",
            "address_2": "SUITE 320",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440773910",
            "telephone_number": "440-350-5669",
            "fax_number": "440-350-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE COUNTY SHERIFFS OFFICE JAIL TREATMENT PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "440-350-5669",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "BA CCDCIIIE"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "6655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Painesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.