OrganizationActive
Lakeshore Pond LLC
NPI 1154048320 · Mental Illness Community Based Residential Treatment Facility · Cleveland, OH
Provider details
- NPI number
- 1154048320
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Shashonna Duckworth, Director of Operations(216) 245-8550
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1757 Wickford Rd
Cleveland, OH 44112-1207
Phone: (216) 245-8550
Street-level locationGet directions
Mailing address
25000 Euclid Ave Ste 401
Euclid, OH 44117-2645
Registry dates
- Enumerated
- 2022-10-27
- Last updated
- 2022-12-07
- Certified
- 2022-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.