Lake View Terrace Memory Care

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

LAKE VIEW TERRACE MEMORY CARE

Practice address

320 Lake Havasu Ave N
Lake Havasu City, AZ 86403-4701

Phone

(928) 855-8099

Fax

(928) 855-6666

NPI assigned

Jan 25, 2010

Organization subpart

Yes

Parent organization

LHC PARTNERS, LPAs reported in NPPES

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

Authorized official

Name

Mr. Gregory Roderick

Title

Manager

Phone

(928) 855-8099

Specialties & licenses 1

Addresses

Other names 1

• LHC Partners LP Doing business as

Part of

Lake View Terrace Memory Care

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

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1033440458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 LAKE HAVASU AVE N",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864034701",
            "telephone_number": "928-855-8099",
            "fax_number": "928-855-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 LAKE HAVASU AVE N",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864034701",
            "telephone_number": "928-855-8099",
            "fax_number": "928-855-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE VIEW TERRACE MEMORY CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LHC PARTNERS, LP",
        "enumeration_date": "2010-01-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RODERICK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "928-855-8099",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LHC Partners LP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lake Havasu Radiology, PLLC
• Lake Havasu Too, LLC
• Lake Havasu Unified School Distrct
• Lake Havasu Unified School District #1
• Lake View Terrace Management LLC
• Lakeside Heart and Vascular Center PLLC
• Lakeside Neurology LLC
• Lakeside Orthopedic Institute LLC
• Lakeside Orthopedic Institute LLC
• Lakeside Orthopedic Institute LLC

• Alzheimer Center (Dementia Center) in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Alzheimer Center (Dementia Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.