1957 N. Lakeman Avenue Operating Company, LLC
NPI 1003815762ActiveOrganization· Skilled Nursing Facility· Bellbrook, OH
Skilled Nursing Facility in Bellbrook, Ohio, registered in NPPES in July 2005. The authorized official on file is Androsky Alberto Lugo, ESQ., Executive Vice Pres.
Overview
| NPI | 1003815762 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 15, 2005 |
| Last updated in NPPES | Nov 15, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Skilled Nursing Facility providers in Bellbrook
- 1316434160
- 1215312285