Lake Park

LBN: Promedica Continuing Care Services Corp
Lake Park is an health care organization with primary practice located at 5100 Harroun Rd , Sylvania OH 43560-2110. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Promedica Continuing Care Services Corp can be contacted via phone (419) 824-1000, or through Roberts, Gladeen via phone (419) 824-5660.

Contact Information

Primary practice address
5100 Harroun Rd Sylvania OH 43560-2110
Phone: (419) 824-1000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Roberts, Gladeen PHD
Phone: (419) 824-5660

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1265492334
LBN Legal business name Promedica Continuing Care Services Corp
DBA Doing business as Lake Park
Authorized official Roberts, Gladeen PHD
Entity Organization
Organization subpart 1 No
Enumeration date Mar 24th, 2006
Last updated Aug 22nd, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265492334 NPPES
Ohio MEDICAID 0036786

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