The Lakes of Paducah, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

20150107305 Issued in KY

Legal business name

THE LAKES OF PADUCAH, LLC

Practice address

2265 Olivet Church Rd
Paducah, KY 42001-9769

Phone

(270) 448-7777

NPI assigned

Sep 2, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gloria Meriwether

Title

Owner

Phone

(270) 448-7777

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1003363300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2265 OLIVET CHURCH RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420019769",
            "telephone_number": "270-448-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 OLIVET CHURCH RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420019769",
            "telephone_number": "270-448-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LAKES OF PADUCAH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-02",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "MERIWETHER",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-448-7777"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "KY",
            "license": "20150107305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Paducah, KY
• Providers in Paducah, KY by specialty
• Assisted Living Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.