Ten Lakes Center, LLC

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

PENDING Issued in OH

Legal business name

TEN LAKES CENTER, LLC

Practice address

819 N 1St St
Dennison, OH 44621-1003

Phone

(615) 463-1458

Fax

(615) 463-3203

NPI assigned

Aug 30, 2006

Last updated

Oct 12, 2018By 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

Christopher Howard

Title

VP & Treasurer

Phone

(615) 861-1000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801906847. Details of each certification follow.

• CCN 364042 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 364042

Legal name

TEN LAKES CENTER, LLC

Certification status

Terminated Voluntary: merger or closure, Aug 8, 2019

Provider type (POS)

Hospital – Psychiatric

Participating since

Oct 3, 2007

Last certification

Oct 3, 2007

Beds

14

Ownership / control type

Private (not for profit)

Facility address

819 North First Street, 3Rd Floor
Dennison, OH 44621

Practitioners 1

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.

• Charlene Ann Gardner, L.S.W.

  • Social Worker
  • Dennison, OH
  • NPI 1851873921
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539302400000",
    "number": "1801906847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 TOWER CIR STE 1000",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370671509",
            "telephone_number": "615-861-7581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 N 1ST ST",
            "city": "DENNISON",
            "state": "OH",
            "postal_code": "446211003",
            "telephone_number": "615-463-1458",
            "fax_number": "615-463-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEN LAKES CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2018-10-12",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "VP & TREASURER",
        "authorized_official_telephone_number": "615-861-1000"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "OH",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas A Steele, DDS
• Colton Russell Stinger, MD
• Zaev David Suskin, MD, MBE
• Danielle Tedesco
• Ten Broeck Tennessee Physicians Group Inc (Vibrant Living: A Program For Seniors)
• Jennifer M Thomas, CNP
• Tricounty Radiology Associates
• Trinity Hospital Twin City
• Trinity Hospital Twin City (Trinity Medical Group)
• Trinity Hospital Twin City

• Psychiatric Hospital in Dennison, OH
• Providers in Dennison, OH by specialty
• Psychiatric Hospital in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.