Organization Active NPI

Rice Lake Operations LLC

Doing business as Rice Lake Convalescent Center

  • Skilled Nursing Facility
  • Rice Lake, WI
National Provider Identifier
1063962454
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
RICE LAKE OPERATIONS LLC
Doing business as
Rice Lake Convalescent Center
Practice address
1016 Lakeshore Dr
Rice Lake, WI 54868-1225
Phone
(715) 234-9101
Fax
(715) 234-4021
NPI assigned
Oct 10, 2016
Last updated
Oct 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Authorized official

Name
Mr. Ephram Lahasky
Title
Manager Member
Phone
(646) 772-3668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1016 Lakeshore Dr
Rice Lake, WI 54868-1225

Mailing address

34 Lord Ave
Lawrence, NY 11559-1324
Phone (646) 772-3668

Other names 1

  • Rice Lake Convalescent Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1063962454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 LORD AVE",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591324",
            "telephone_number": "646-772-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 LAKESHORE DR",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548681225",
            "telephone_number": "715-234-9101",
            "fax_number": "715-234-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICE LAKE OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "LAHASKY",
        "authorized_official_first_name": "EPHRAM",
        "authorized_official_title_or_position": "MANAGER MEMBER",
        "authorized_official_telephone_number": "646-772-3668",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rice Lake Convalescent Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rice Lake, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.