LS Mineola Operator LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LS MINEOLA OPERATOR LLC

Doing business as

Mineola Heights Healthcare Centre

Practice address

716 Mimosa Dr
Mineola, TX 75773-2612

Phone

(903) 569-5366

NPI assigned

Feb 6, 2019

Last updated

Oct 9, 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

Mark Lazar

Title

Authorized Representative

Phone

(323) 651-1808

Specialties & licenses 1

Addresses

Other names 1

• Mineola Heights Healthcare Centre Doing business as

Locations

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602201600000",
    "number": "1053876771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 MIMOSA DR",
            "city": "MINEOLA",
            "state": "TX",
            "postal_code": "757732612",
            "telephone_number": "903-569-5366",
            "fax_number": "903-569-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 MIMOSA DR",
            "city": "MINEOLA",
            "state": "TX",
            "postal_code": "757732612",
            "telephone_number": "903-569-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LS MINEOLA OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A",
        "authorized_official_last_name": "LAZAR",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "323-651-1808"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mineola Heights Healthcare Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Mineola, TX
• Providers in Mineola, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.