Lakeview Ocean State, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

LAKEVIEW OCEAN STATE, INC.

Practice address

4219 S County TRL
Charlestown, RI 02813-3628

Phone

(401) 364-8719

NPI assigned

Mar 12, 2007

Organization subpart

No

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

Authorized official

Name

Chris Slover

Title

Administrator

Phone

(603) 539-7451

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247097600000",
    "number": "1023140415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 HIGH WATCH RD",
            "city": "EFFINGHAM",
            "state": "NH",
            "postal_code": "038828336",
            "telephone_number": "603-539-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4219 S COUNTY TRL",
            "city": "CHARLESTOWN",
            "state": "RI",
            "postal_code": "028133628",
            "telephone_number": "401-364-8719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW OCEAN STATE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2009-07-09",
        "status": "A",
        "authorized_official_last_name": "SLOVER",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "603-539-7451"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LO58163",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colleen Burtis Kenny, RN
• Julie Anne Krebs, R.N.
• Joshua Joseph Krupka
• Brandon H Krupp, M.D.
• Michelle Kuda, CSCS
• Meloney Ann Lausier, RN-BC
• Stacey Lynne Lecours, MS, CCC/SLP
• Kristen Lee, COTA/L
• Irene Lener, OTR
• Liberty Advanced Integrative Care, LLC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Charlestown, RI
• Providers in Charlestown, RI by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; 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.