LAKE COUNTY BOARD DD
NPI 1316515786
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Mentor, OH

Q: What is Lake County Board Dd's NPI number?

The NPI number for Lake County Board Dd is 1316515786. It was assigned to this organization in the NPPES registry on June 14, 2021. The provider is doing business as Jacklitz Continuing Development Center.

Q: What is Lake County Board Dd's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Active since June 14, 2021

8121 DEEPWOOD BLVD BLDG A2, MENTOR, OH 44060(443) 350-5100(440) 350-5290 Get Directions Write a Review

NPPES record last updated: June 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lake County Board Dd NPPES

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

LAKE COUNTY BOARD DD (NPI 1316515786), doing business as Jacklitz Continuing Development Center, is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Mentor, Ohio and active in the NPI registry since June 2021. The organization lists Elfriede Roman, Superintendent, as its authorized official.

NPPES Registry Identity

NPI1316515786

Entity TypeOrganization

Primary Taxonomy320600000X

Legal Business NameLAKE COUNTY BOARD DD

Location Address8121 DEEPWOOD BLVD BLDG A2Mentor, OH 44060-7703

Mailing Address8121 Deepwood Blvd Bldg A2Mentor, OH 44060-7703 · (443) 350-5100 · Fax (440) 350-5290

Phone(443) 350-5100

Fax(440) 350-5290

Organization SubpartYes

Authorized OfficialElfriede RomanSuperintendent · (440) 350-5100

Enumeration DateJune 14, 2021

NPPES CertifiedJune 3, 2021

✔ NPI 1316515786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

8121 DEEPWOOD BLVD BLDG A2, Mentor, OH 44060

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Other Names 1

Doing Business AsJacklitz Continuing Development Center

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 Lake County Board Dd's NPI number?

The NPI number for Lake County Board Dd is 1316515786. It was assigned to this organization in the NPPES registry on June 14, 2021. The provider is doing business as Jacklitz Continuing Development Center.

Where is Lake County Board Dd located?

Lake County Board Dd is located at 8121 Deepwood Blvd Bldg A2, Mentor, OH 44060. The listed phone number is (443) 350-5100.

What is Lake County Board Dd's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Lake County Board Dd was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.