Lakeview Ranch Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LAKEVIEW RANCH HEALTHCARE LLC

Practice address

69531 213TH St
Darwin, MN 55324-6602

Phone

(320) 275-4611

Fax

(320) 275-4030

NPI assigned

Apr 1, 2009

Last updated

Apr 1, 2009By 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

Ms. Judy A Berry

Title

Ceo

Phone

(320) 275-4027

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1073755385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69531 213TH ST",
            "city": "DARWIN",
            "state": "MN",
            "postal_code": "553246602",
            "telephone_number": "320-275-4611",
            "fax_number": "320-275-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69531 213TH ST",
            "city": "DARWIN",
            "state": "MN",
            "postal_code": "553246602",
            "telephone_number": "320-275-4611",
            "fax_number": "320-275-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW RANCH HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "320-275-4027",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M124983000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corrinna Valentine Bigot
• Lakeview Ranch, Inc.
• Linda Marie Olinger-Schneider, RN
• Vacker Place

• Home Health Agency in Darwin, MN
• Providers in Darwin, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; 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.