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NPI Code Detail

MEDICARE: FAR WEST CENTER

MEDICARE: FAR WEST CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency
2261QM0850XAdult Mental Health Clinic/Center
3261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)209OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
110460OTHEROHLORAIN COUNTY BOARD OF MENTAL HEALTH
202505OTHEROHADAMHS BOARD OF CUYAHOGA COUNTY
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093771230
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAR WEST CENTER
Provider Business Mailing Address
First Line : 29133 HEALTH CAMPUS DR
Second Line : BLDG. 4
City : WESTLAKE
State : OH
Zip : 44145-5256
Country : US
Telephone Number : 440-835-6212
Fax Number : 440-835-6231
Provider Business Practice Location Address
First Line : 29133 HEALTH CAMPUS DR
Second Line : BLDG. 4
City : WESTLAKE
State : OH
Zip : 44145-5256
Country : US
Telephone Number : 440-835-6212
Fax Number : 440-835-6231
Authorized Official
Title or Position : CEO
Name : MS. HELEN MARIE DYLAG
Credential : RN, APRN
Telephone Number : 440-835-6212
Provider Enumeration Date : 04/25/2006
Last Update Date : 07/15/2025

Similar Medicare Providers

1912229238 — ROBERT A PIOVARCHY MA, LPC
Practice Location Address:
29133 HEALTH CAMPUS DR
WESTLAKE, OH
44145-5256
Practice Phone: 440-835-6212
Practice Fax: 440-835-6231
1043287998 — MS. COLLEEN CLARE BARRETT L.I.S.W.
Practice Location Address:
29133 HEALTH CAMPUS DR
WESTLAKE, OH
44145-5256
Practice Phone: 330-725-9195
Practice Fax: 330-725-8187
1225140890 — MR. ROBERT E. PERSSE LISW
Practice Location Address:
29133 HEALTH CAMPUS DR
WESTLAKE, OH
44145-5256
Practice Phone: 440-835-6212
Practice Fax: 440-835-6231
1124130604 — DR. NABILA RIZK MD
Practice Location Address:
29133 HEALTH CAMPUS DR
WESTLAKE, OH
44145-5256
Practice Phone: 440-835-6212
Practice Fax: 440-835-6231
1316059686 — DR. PAUL YAVORNITZKY PH.D.
Practice Location Address:
29133 HEALTH CAMPUS DR
WESTLAKE, OH
44145-5256
Practice Phone: 440-835-6212
Practice Fax: 440-835-6231
1164533501 — MS. TERRI A. FEHER
Practice Location Address:
29133 HEALTH CAMPUS DR
WESTLAKE, OH
44145-5256
Practice Phone: 440-835-6212
Practice Fax: 440-835-6231

Directions to “FAR WEST CENTER ” Practice Location

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