Lakeside Manor Nursing & Rehabilitation Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LAKESIDE MANOR NURSING & REHABILITATION CENTER LLC

Practice address

13990 Lakeside Cir
Sterling Heights, MI 48313-1318

Phone

(586) 488-1400

Fax

(844) 276-4323

NPI assigned

Dec 14, 2015

Organization subpart

No

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

Authorized official

Name

Fahim Uddin

Title

President

Phone

(248) 593-1990

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Skilled nursing facility certification: CCN 235719

Legal name

LAKESIDE MANOR NURSING & REHABILITATION CENTER LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 13, 2017

Last certification

Jul 16, 2024

Beds

66

Ownership / control type

Corporation

Multi-facility organization

Pioneer Healthcare Management

Organization structure

LLCProprietary

Incorporated

Aug 5, 2011 in MI

Enrollment address

13990 Lakeside Cir
Sterling Heights, MI 48313-1318

Nursing home name

LAKESIDE MANOR NURSING AND REHABILITATION CENTER

Affiliated entity

PIONEER HEALTHCARE MANAGEMENT

Listed as

Lakeside Manor Nursing and Rehabilitation CenterCCN 235719

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jan 13, 2017

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6652.6 residents per day on average

Chain

Pioneer Healthcare Management9 facilities in the chain

Special focus status

SFF

Penalties (3 years)

1Fines totaling $0

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wahed Ishaqsei, M.D.

  • Internal Medicine Physician
  • Roseville, MI
  • NPI 1063423176
  NPD (past)
• Ghanem Sharabi, MD

  • Internal Medicine Physician
  • Warren, MI
  • NPI 1508874504
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Wahed Ishaqsei, M.D.

  • Internal Medicine Physician
  • Roseville, MI
  • NPI 1063423176

  Nursing home

  Care Compare affiliation
• Ghanem Sharabi, MD

  • Internal Medicine Physician
  • Warren, MI
  • NPI 1508874504

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486684800000",
    "number": "1013382225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30700 TELEGRAPH RD",
            "address_2": "SUITE 2504",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254524",
            "telephone_number": "248-593-1990",
            "fax_number": "248-593-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13990 LAKESIDE CIR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131318",
            "telephone_number": "586-488-1400",
            "fax_number": "844-276-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE MANOR NURSING & REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-14",
        "last_updated": "2017-02-10",
        "status": "A",
        "authorized_official_last_name": "UDDIN",
        "authorized_official_first_name": "FAHIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-593-1990"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kathleen Ryan Lalonde, ATC
• Selena P Lam-Jiang, OD
• Holly M Lamb, OTR/L
• Marisa Lambert
• Shannon Lambert, CTRS

• All providers in Sterling Heights, MI
• Skilled Nursing Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.