Lakeshore Assisted Living LLC
Organization Active NPI Assisted Living Facility · Waseca, MN
NPI 1033856166 · NPPES record last updated Sep 13, 2022
Key facts
- NPI
- 1033856166
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- LAKESHORE ASSISTED LIVING LLC
- Practice address
- 105 8TH St NW
Waseca, MN 56093-1907 - Phone
- (507) 625-8741
- NPI assigned
- May 19, 2022
- Organization subpart
- No
Authorized official
- Name
- Ian Rekant
- Title
- VP of RCM
- Phone
- (507) 203-1031
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2265749 | Lakeshore Assisted Living | Certificate of waiver | Aug 1, 2026 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Yes |
Addresses
Primary practice location
105 8TH St NW
Waseca, MN 56093-1907
Mailing address
638 Southbend Ave
Mankato, MN 56001-2168
Phone (507) 625-8741
Other providers in Waseca, MN
- Jerald L Monson Jr OD
- Rachel Anne Kluver
- Rodney A Kolpin
- Regan Marie Kriechbaum
- Rachel Susan Kroontje
- Lakeshore Inn Nursing Home Inc
- Lakeshore Rehabilitation Center LLC
- Larry and Michele Kroeger, LLC
- Latham Place, LLC
- Sandra J. Lauring
All providers in Waseca, MN · Assisted Living Facility in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2022. 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.