Lakeview Residence

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LAKEVIEW RESIDENCE

Practice address

201 N 6TH Ave
Virginia, MN 55792-2437

Phone

(218) 741-8996

NPI assigned

Apr 20, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jay Wall

Title

Owner

Phone

(218) 741-8996

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023236767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1267",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557921267",
            "telephone_number": "218-741-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N 6TH AVE",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557922437",
            "telephone_number": "218-741-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW RESIDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-741-8996",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Lee Kotnik, MSW, LICSW
• Janice S Krebsbach Florey, MSW LICSW
• Alison Mary Kubat, DPT
• Megan M Kumpula
• Jessica Lahti
• Sarah Donnellan Laney, APRN, CNP
• Whitney Page Lauer
• Brandi Michelle Lautigar, MSW, LICSW
• Janine Marie Lavigne
• Rebecca Leaders, MS

• Assisted Living Facility in Virginia, MN
• Providers in Virginia, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.