Active NPI
Lakewood Senior Living-Drums, LLC
Doing business as Fritzingertown Senior Living Community
- Lodging Provider
- Drums, PA
National Provider Identifier
1033813530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lodging Provider
- Legal business name
- LAKEWOOD SENIOR LIVING-DRUMS, LLC
- Doing business as
- Fritzingertown Senior Living Community
- Practice address
- 159 S Old Turnpike Rd
Drums, PA 18222-1726 - Phone
- (570) 788-4178
- Fax
- (570) 788-5906
- NPI assigned
- Mar 28, 2023
- Last updated
- Mar 28, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard James Brockman
- Title
- Manager
- Phone
- (205) 837-5336
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lodging Provider | 177F00000X | Primary |
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 1
- Fritzingertown Senior Living Community
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2193870 | Fritzingertown Senior Living | Certificate of waiver | Sep 24, 2026 |
National Provider Directory
National Provider DirectoryLocations
159 S Old Turnpike Rd
Drums, PA 18222
Phone (570) 788-4178
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Podiatrist
- Hazle Township, PA
- NPI 1275592792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679961600000",
"number": "1033813530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3008 7TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352333503",
"telephone_number": "205-837-5336",
"fax_number": "205-320-7595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 S OLD TURNPIKE RD",
"city": "DRUMS",
"state": "PA",
"postal_code": "182221726",
"telephone_number": "570-788-4178",
"fax_number": "570-788-5906"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKEWOOD SENIOR LIVING-DRUMS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-28",
"last_updated": "2023-03-28",
"certification_date": "2023-03-28",
"status": "A",
"authorized_official_last_name": "BROCKMAN",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "205-837-5336"
},
"taxonomies": [
{
"code": "177F00000X",
"taxonomy_group": "",
"desc": "Lodging",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fritzingertown Senior Living Community",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Drums, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.