NB - Lake Residential Support CSN – Mental Illness Community Based Residential Treatment Facility, NPI 1013986082

NB - Lake Residential Support CSN is a healthcare provider. based in Columbus, Ohio. specializing in Mental Illness Community Based Residential Treatment Facility. The NPI Number for NB - Lake Residential Support CSN is 1013986082

Main info

Organization
Name
NB - Lake Residential Support CSN
NPI
1013986082
Phone
(614) 466-6583
Address
30 E. BROAD ST
Authorized Official
MS. TONYA MARIE FASONE FISCAL MANAGER
Enumeration Date
14 March 2006
Last Update Date
30 November 2011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for NB - Lake Residential Support CSN

  • Rhodes State Office Tower, 30, East Broad Street, Uptown District, Downtown, Columbus, Sharon, Franklin County, Ohio, 43215, United States

    11TH FLOOR - FISCAL ADMINISTRATION

    COLUMBUS, OH 432153430

    Phone: (614) 466-6583

    Fax: (614) 644-5331

    Type: Mailing

  • 1420, Lost Nation Road, Will-O-Bee-on-the-Lake, Oak Hill Village, Willoughby, Lake County, Ohio, 44094, United States

    WILLOUGHBY, OH 440947375

    Phone: (330) 467-7131

    Fax: (330) 467-2420

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43215)

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Reviews

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Frequently asked questions

Where can patients find NB - Lake Residential Support CSN's NPI?
You can confirm NB - Lake Residential Support CSN with NPI 1013986082; it appears in the national provider directory.
Does this profile mean NB - Lake Residential Support CSN is currently active?
Yes — NB - Lake Residential Support CSN appears active in the national provider directory.
Can you summarize NB - Lake Residential Support CSN's specialty in plain language?
Clinically, the directory lists NB - Lake Residential Support CSN with Mental Illness Community Based Residential Treatment Facility. Clinical services aligned with this taxonomy classification.
What location shows for NB - Lake Residential Support CSN?
We surface Columbus, Ohio for NB - Lake Residential Support CSN based on available NPPES addresses.
How can I contact NB - Lake Residential Support CSN?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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