Lakewood Senior Living-Drums, LLC
Organization Active NPI Lodging Provider · Drums, PA
NPI 1033813530 · NPPES record last updated Mar 28, 2023
Key facts
- NPI
- 1033813530
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Lodging Provider 177F00000X
- Legal business name
- LAKEWOOD SENIOR LIVING-DRUMS, LLC
- Practice address
- 159 S Old Turnpike Rd
Drums, PA 18222-1726 - Phone
- (570) 788-4178
- Fax
- (570) 788-5906
- NPI assigned
- Mar 28, 2023
- Organization subpart
- No
Authorized official
- Name
- Richard James Brockman
- Title
- Manager
- Phone
- (205) 837-5336
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2193870 | Fritzingertown Senior Living | Certificate of waiver | Sep 24, 2026 |
National Provider Directory
Locations
3008 7th Ave S
Birmingham, AL 35233
Phone (205) 320-7527
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lodging Provider | 177F00000X | Yes |
Addresses
Primary practice location
159 S Old Turnpike Rd
Drums, PA 18222-1726
Mailing address
3008 7TH Ave S
Birmingham, AL 35233-3503
Phone (205) 837-5336
Other names
- Fritzingertown Senior Living Community
Other providers in Drums, PA
- Stephanie Hill
- Melissa Marie Kalinchok
- Mary Kelly
- Wendy Kilburn
- Rachel Kujat
- Tracey Lapinski
- Dawn Lynne Larock-Sharrer
- Mary Beth Ann Leshko
- Denise Lesko
- LG Intervention Specialists, Inc.
All providers in Drums, PA · Lodging Provider in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.