LAKE HOSPITAL SYSTEM INC NPI 1972689172

General Acute Care Hospital in Willoughby, OH

NPI 1972689172 Organization General Acute Care Hospital Hospital Overall Rating

About LAKE HOSPITAL SYSTEM INC

Lake Hospital System Inc is a hospital serving the Willoughby, Ohio region. The facility is a general acute care hospital. The NPI number of this hospital is 1972689172 and was assigned on October 2006. The hospital's primary taxonomy code is 282N00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Mr. Robert Tracz (Chief Financial Officer)

According to the Hospital Compare program data, Lake Hospital System Inc has an average overall quality rating based on the hospital's performance on seven separate quality measures including: mortality, safety of care, readmissions, patient experience, effectiveness of care, timeliness of care and efficient use of medical imaging. These quality measures are combined in a weighted average to generate a star rating of 3 out of 5 stars for this provider. The hospital provides emergency services like acute medical care or trauma care.

NPI

1972689172

Provider NameLAKE HOSPITAL SYSTEM INC
Provider Location Address36000 EUCLID AVE WILLOUGHBY, OH 44094
Provider Mailing Address36000 EUCLID AVE WILLOUGHBY, OH 44094
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date10-31-2006
Last Update Date04-20-2008


Primary Taxonomy

Taxonomy Code282N00000X
ClassificationGeneral Acute Care Hospital
TypeHospitals
Taxonomy DescriptionAn acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Business Address

LAKE HOSPITAL SYSTEM INC
36000 EUCLID AVE
WILLOUGHBY, OH
ZIP 44094
Phone: (440) 953-9600
Fax: (440) 953-6081

Get Directions


Mailing Address

LAKE HOSPITAL SYSTEM INC
36000 EUCLID AVE
WILLOUGHBY, OH
ZIP 44094
Phone: (440) 953-9600
Fax: (440) 953-6081



Authorized Official

Authorized Official NameMR. ROBERT TRACZ
Authorized Official TitleCHIEF FINANCIAL OFFICER
Authorized Official Phone(440) 354-1051

Hospital Compare Information

Overall Quality Rating Overall Quality Rating
The overall rating is calculated by taking the weighted average of these group scores. If a hospital is missing a measure category or group, the weights are redistributed amongst the qualifying measure categories or groups.
- 3 out of 5 stars - Average
Hospital TypeAcute Care Hospitals - Voluntary non-profit - Private
Emergency Services Emergency Services
Shows if the hospital provides emergency services like acute medical care or trauma care.
Yes
Mortality7 - No cases met the criteria for this measure.
Safety of Care1 - Fewer than 100 patients completed the HCAHPS survey. Use these scores with caution, as the number of surveys may be too low to reliably assess hospital performance.
Readmission0
Patient Experience8 - No cases met the criteria for this measure.
Effectiveness of Care3 - Data suppressed by CMS for one or more quarters.
Timeliness of Care0
Efficient use of Medical Imaging11 - There were discrepancies in the data collection process.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1273R00000XHospital UnitsPsychiatric UnitNo

Taxonomy Description: in general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.

2273Y00000XHospital UnitsRehabilitation UnitNo

Taxonomy Description: in general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient's condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient's medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
36T098MEDICARE OSCAR/CERTIFICATION (06)OH
803272MEDICAID (05)AZ
LAK0098NMEDICAID (05)AL
360098MEDICARE OSCAR/CERTIFICATION (06)OH
0140D446MEDICAID (05)KY
10024977600MEDICAID (05)NE
3600098MEDICAID (05)NC
D2490320MEDICAID (05)NY
4922507MEDICAID (05)OH
36S098MEDICARE OSCAR/CERTIFICATION (06)OH
0011437050002MEDICAID (05)PA
XHSP33687MEDICAID (05)CA
365910MEDICARE OSCAR/CERTIFICATION (06)
=========001MEDICAID (05)IL
=========OTHER (01)
XHSP43687MEDICAID (05)CA

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1780661835 JACK EVERETT HAY DO
Individual
Emergency Medicine36000 EUCLID AVE
WILLOUGHBY, OH 44094
(440) 953-9600
1477533180 JESSICA J WHITLEY MD
Individual
Internal Medicine36000 EUCLID AVE
WILLOUGHBY, OH 44094
(440) 953-9600
1023077617DR. JOYCE ARLENE WEST MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)36000 EUCLID AVE
WILLOUGHBY, OH 44094
(440) 354-4208
1164482535 EFREN GLORIOSO MD
Individual
Emergency Medicine36000 EUCLID AVE
WILLOUGHBY, OH 44094
(440) 953-6203
1518927995LAKE EMERGENCY SERVICES INC
Organization
Emergency Medicine36000 EUCLID AVE
WILLOUGHBY, OH 44094
(440) 953-6203
1972564128 SONIA A KIRK MD
Individual
Emergency Medicine36000 EUCLID AVE
WILLOUGHBY, OH 44094
(440) 953-6203
1215998463 EDMUNDO R MANDAC MD
Individual
Emergency Medicine36000 EUCLID AVE
WILLOUGHBY, OH 44094
(440) 953-6203
1487615647 VIJAY ADUSUMILLI MD
Individual
Emergency Medicine36000 EUCLID AVE
WILLOUGHBY, OH 44094
(440) 953-6203
1407817380 MARC ALLEN MD
Individual
Emergency Medicine36000 EUCLID AVE
WILLOUGHBY, OH 44094
(440) 953-6203
1720049661 BARBARA JORDAN DO
Individual
Emergency Medicine36000 EUCLID AVE
WILLOUGHBY, OH 44094
(440) 953-6203
1275594129 GREGORY ARMSTRONG PAC
Individual
Physician Assistant36000 EUCLID AVE
WILLOUGHBY, OH 44094
(440) 953-6203
1033170923 GEORGE LIVINGSTON PA
Individual
Physician Assistant36000 EUCLID AVE
WILLOUGHBY, OH 44094
(440) 953-6203
1881657765MS. MARYELLEN L EICKMAN-FIALA LD
Individual
Dietitian, Registered36000 EUCLID AVE
WILLOUGHBY, OH 44094
(440) 354-1990
1922062868 SUSAN M MOYER P.A.
Individual
Physician Assistant36000 EUCLID AVE
WILLOUGHBY, OH 44094
(440) 953-9600
1679785497MRS. DEBRA A WALKO ATC
Individual
Specialist/Technologist (Athletic Trainer)36000 EUCLID AVE
WILLOUGHBY, OH 44094
(440) 953-9600
1710199641MRS. AMY PERNUS ATC
Individual
Specialist/Technologist (Athletic Trainer)36000 EUCLID AVE
WILLOUGHBY, OH 44094
(440) 953-6036
1184838146 AMY A. YATES LSW
Individual
Social Worker (Clinical)36000 EUCLID AVE
WILLOUGHBY, OH 44094
(440) 602-6436
1467667949MRS. RAYNA LEE O'HARA PA-C
Individual
Physician Assistant (Surgical)36000 EUCLID AVE
WILLOUGHBY, OH 44094
(440) 953-9600
1316152465MRS. THERESA CLEMENS P.A.-C
Individual
Physician Assistant36000 EUCLID AVE
WILLOUGHBY, OH 44094
(440) 602-6430
1639384845MRS. ADRIENNE ELIZABETH GREEN LISW
Individual
Social Worker (Clinical)36000 EUCLID AVE
WILLOUGHBY, OH 44094
(440) 602-6421

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.