LANTERN OF SAYBROOK
NPI 1376095422
Assisted Living Facility - Assisted Living, Mental Illness in Ashtabula, OH

Active since October 25, 2016CLIA 36D2195024 · Waiver
3720 NORTH RIDGE ROAD WEST, ASHTABULA, OH 44004(440) 261-3100(440) 992-0416 Get Directions Write a Review

NPPES record last updated: October 25, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lantern Of Saybrook NPPES

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

LANTERN OF SAYBROOK (NPI 1376095422) is a healthcare organization registered as an assisted living, mental illness in Ashtabula, Ohio and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through October 5, 2026 and lists Nesian Makesh, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376095422
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameLANTERN OF SAYBROOK
Location Address3720 NORTH RIDGE ROAD WESTAshtabula, OH 44004
Mailing Address3720 North Ridge Road WestAshtabula, OH 44004 · (440) 261-3100 · Fax (440) 992-0416
Fax(440) 992-0416
Organization SubpartNo
Authorized OfficialNesian MakeshCeo · (440) 261-3100
Enumeration DateOctober 25, 2016
NPI 1376095422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
License Licensed in OH · 2744R
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

3720 NORTH RIDGE ROAD WEST, Ashtabula, OH 44004

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 36D2195024

Lantern Of Saybrook · Ashtabula, OH
Active · expires Oct 5, 2026
CLIA Number36D2195024
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 6, 2024
Certificate Expiration DateOctober 5, 2026
Laboratory DirectorCarrie Hostetler
Laboratory Phone(440) 261-3100
Laboratory LocationLantern Of Saybrook3720 N Ridge Rd W, Ashtabula, OH 44004
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Lantern Of Saybrook's NPI number?

The NPI number for Lantern Of Saybrook is 1376095422. It was assigned to this organization in the NPPES registry on October 25, 2016.

Where is Lantern Of Saybrook located?

Lantern Of Saybrook is located at 3720 North Ridge Road West, Ashtabula, OH 44004. The listed phone number is (440) 261-3100.

What is Lantern Of Saybrook's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Does Lantern Of Saybrook hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2195024) is associated with this NPI, valid through October 5, 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 Lantern Of Saybrook was last updated on October 25, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.