Lakeshore Estates, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LAKESHORE ESTATES, INC.

Doing business as

Lakeshore Heartland

Practice address

3025 Fernbrook LN
Nashville, TN 37214-1623

Phone

(615) 885-2320

Fax

(615) 885-3439

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David A Sciortino Sr.

Title

President

Phone

(615) 646-4466

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Lakeshore Heartland Doing business as

Locations

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1093720757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 FERNBROOK LN",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372141623",
            "telephone_number": "615-885-2320",
            "fax_number": "615-885-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 FERNBROOK LN",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372141623",
            "telephone_number": "615-885-2320",
            "fax_number": "615-885-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE ESTATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "SCIORTINO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-646-4466",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TN",
            "license": "396",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TN",
            "license": "56",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440581",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeshore Heartland",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lakeshore Heartland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shakira Laing, DO
• Madelyn Kelly Laird
• Mary Virginia Laird, MSN, CPNP
• Hannah Lake-Rayburn, MSN, CNM, NP-C
• Tara Lake
• Lakeshore Estates, Inc.
• Teshager Alemayehu Lakew, PHARMD
• Alicia Dawn Lakin, M.ED. (COUNSELING)
• Karen Lakin, MD
• Katrina Lakoff

• Skilled Nursing Facility in Nashville, TN
• Providers in Nashville, TN by specialty
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.