Lakewood Care Center

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL055003 Issued in NC

Legal business name

LAKEWOOD CARE CENTER

Practice address

7981 Optimist Club Road
Denver, NC 28037-0177

Phone

(704) 483-7000

Fax

(704) 483-3953

NPI assigned

Jun 4, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Edith E Beam

Title

Owner

Phone

(704) 483-7000

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083816797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 177",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280370177",
            "telephone_number": "704-483-7000",
            "fax_number": "704-483-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7981 OPTIMIST CLUB ROAD",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280370177",
            "telephone_number": "704-483-7000",
            "fax_number": "704-483-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEAM",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-483-7000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL055003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801322",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maryrose Kopchinsky, RN, IBCLC
• Karen Marie Koutsky
• Keira Rochelle Kuhar
• Brooke Lachance, LCMHC, NCC
• Lakeshore Pediatric Center, P.a.
• Kyle Matthew Lamb, FNP
• Jason Langhough, DC, DACNB
• Cynthia Leigh, D.D.S.
• Marigarace Licitra
• Life Into Life

• Assisted Living Facility in Denver, NC
• Providers in Denver, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.