Lan Silver Pines LLC

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

LAN SILVER PINES LLC

Practice address

136 36TH Ave SW
Cedar Rapids, IA 52404-4638

Phone

(319) 362-6868

Fax

(319) 363-7312

NPI assigned

Feb 2, 2016

Organization subpart

No

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

Authorized official

Name

Shanda London

Title

Authorized Official

Phone

(206) 623-6239

Specialties & licenses 1

Addresses

Other names 1

• Brookdale Cedar Rapids Doing business as

Locations

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1013375310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4252 MANOR DR",
            "city": "MARSHALL",
            "state": "VA",
            "postal_code": "201153701",
            "telephone_number": "540-364-0155",
            "fax_number": "540-364-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 36TH AVE SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524044638",
            "telephone_number": "319-362-6868",
            "fax_number": "319-363-7312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAN SILVER PINES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "LONDON",
        "authorized_official_first_name": "SHANDA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "206-623-6239"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Cedar Rapids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James R Lamorgese, M.D.
• Tonya Rae Lamos, OTR/L, CLT
• Donna Lynn Lampe, RPH
• Sadie Lampe
• Devin Lamphere, PTA
• Matthew John Landherr, M.D.
• Joseph Landon, DPT
• Stacie Lane-O'Brien, B.C.B.A.
• Sydni Elizabeth Lane
• Thomas Jeffery Lane, MSW

• Custodial Care Facility in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Custodial Care Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.