Provider Demographics
NPI:1528660461
Name:LIVING IN FAMILY ENVIRONMENTS, INC.
Entity type:Organization
Organization Name:LIVING IN FAMILY ENVIRONMENTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:BENJAMIN
Authorized Official - Last Name:WESTLAKE
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:614-475-5305
Mailing Address - Street 1:142 N HIGH ST
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-3032
Mailing Address - Country:US
Mailing Address - Phone:614-475-5305
Mailing Address - Fax:614-471-6912
Practice Address - Street 1:142 N HIGH ST
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-3032
Practice Address - Country:US
Practice Address - Phone:614-475-5305
Practice Address - Fax:614-471-6912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-16
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2010988Medicaid