LAKEWOOD SENIOR CAMPUS, LLC
NPI 1255188124
Assisted Living Facility in Lakewood, OH

Active since April 30, 2024CLIA 36D0336091 · Waiver
13900 DETROIT AVE, LAKEWOOD, OH 44107(216) 228-7650(216) 228-7655 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lakewood Senior Campus, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKEWOOD SENIOR CAMPUS, LLC (NPI 1255188124), doing business as O'neill Healthcare Lakewood, is a healthcare organization registered as an assisted living facility in Lakewood, Ohio and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists John T O'neill, President, as its authorized official.

NPPES Registry Identity

NPI1255188124
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLAKEWOOD SENIOR CAMPUS, LLC
Location Address13900 DETROIT AVELakewood, OH 44107-4624
Mailing Address38642 Center Ridge RdNorth Ridgeville, OH 44039-5812 · (440) 387-5500 · Fax (440) 327-6172
Fax(216) 228-7655
Organization SubpartYes
Authorized OfficialJohn T O'neillPresident · (400) 387-5555
Enumeration DateApril 30, 2024
NPPES CertifiedApril 30, 2024
NPI 1255188124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

13900 DETROIT AVE, Lakewood, OH 44107

Other Names 1

Doing Business AsO'neill Healthcare Lakewood

Other Identifiers 1

Medicaid2887005OH

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D0336091

Lakewood Senior Health Campus · Lakewood, OH
Active · expires Aug 31, 2026
CLIA Number36D0336091
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKishor Patel
Laboratory Phone(216) 228-7650
Laboratory LocationLakewood Senior Health Campus13900 Detroit Avenue, Lakewood, OH 44107
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
13900 DETROIT AVE
LAKEWOOD, OH 44107
Licensed Practical Nurse
13900 DETROIT AVE, LAKEWOOD SENIOR HEALTH CAMPUS
LAKEWOOD, OH 44107
Clinical Medical Laboratory
13900 DETROIT AVE
LAKEWOOD, OH 44107
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
13900 DETROIT AVE
LAKEWOOD, OH 44107
Nurse Practitioner (Adult Health)
13900 DETROIT AVE
LAKEWOOD, OH 44107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakewood Senior Campus, LLC's NPI number?

The NPI number for Lakewood Senior Campus, LLC is 1255188124. It was assigned to this organization in the NPPES registry on April 30, 2024. The provider is doing business as O'Neill Healthcare Lakewood.

Where is Lakewood Senior Campus, LLC located?

Lakewood Senior Campus, LLC is located at 13900 Detroit Ave, Lakewood, OH 44107. The listed phone number is (216) 228-7650.

What is Lakewood Senior Campus, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Lakewood Senior Campus, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0336091) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lakewood Senior Campus, LLC was last updated on April 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.