Lakeside Terrace
Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Sabetha, KS
NPI 1124095534 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1124095534
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual Disabilities Intermediate Care Facility 315P00000X
- License
- N066007 (KS)
- Legal business name
- LAKESIDE TERRACE
- Practice address
- 1100 Harrison
Sabetha, KS 66534 - Phone
- (785) 284-3471
- Fax
- (785) 284-3697
- NPI assigned
- Mar 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Ed J Strahm
- Title
- Administrator
- Phone
- (785) 284-3471
Practitioners 2
-
Kevin P. Kennally, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D2199937 | Lakeside Terrace | Certificate of waiver | Nov 11, 2026 |
National Provider Directory
Locations
1100 Harrison St
Sabetha, KS 66534
Phone (785) 284-0005
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | N066007 | KS | Yes |
Addresses
Primary practice location
1100 Harrison
Sabetha, KS 66534
Mailing address
511 Paramount St
Sabetha, KS 66534
Phone (785) 284-3471
Other providers in Sabetha, KS
- Erin Colleen Henry
- Kansas Dialysis Services LC
- Kevin P. Kennally
- Randall J Kirwan
- Paula Koch
- Lemons Therapy LLC
- Rachel Lemons
- Lisa Elaine Lierz
- James Allen Longabaugh
- Susan Rose Lueger
All providers in Sabetha, KS · Intellectual Disabilities Intermediate Care Facility in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.