Meredith Lane Family Home

LBN: Phoenix Residential Centers, Inc.
Meredith Lane Family Home is an health care organization with primary practice located at 12345 Meredith Ln , Painesville OH 44077-9246. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Phoenix Residential Centers, Inc. can be contacted via phone (440) 428-9082, or through Jaskela, Mary Jo via phone (440) 428-9082.

Contact Information

Primary practice address
12345 Meredith Ln Painesville OH 44077-9246
Phone: (440) 428-9082
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jaskela, Mary Jo
Phone: (440) 428-9082

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X

Profile Details

NPI number 1629467972
LBN Legal business name Phoenix Residential Centers, Inc.
DBA Doing business as Meredith Lane Family Home
Authorized official Jaskela, Mary Jo
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2015
Last updated Jan 9th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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