Lakeridge Villa

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

5298 Issued in OH

Legal business name

LAKERIDGE VILLA

Practice address

7220 Pippin Rd
Cincinnati, OH 45239-4607

Phone

(513) 729-2300

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Sandy Versoza

Title

Admissions

Phone

(513) 729-2300

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154540755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 PIPPIN RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452394607",
            "telephone_number": "513-729-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 PIPPIN RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452394607",
            "telephone_number": "513-729-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKERIDGE VILLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VERSOZA",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "ADMISSIONS",
        "authorized_official_telephone_number": "513-729-2300"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "5298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2028317",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April Lake, PT, DPT
• Mary Yvonne Lake, LISW
• Audrey Laker, LISW
• Lakeridge Acres Nursing & Rehabilitation Center LLC
• Lakeridge Acres Nursing & Rehabilitation Center LLC
• Ejaz Ahmed Lakhani, DDS
• Rajan S Lakhia, DO
• Eric Aj Lakomek, DO
• Gnana Priyanka Lalagiri, MD
• Elizabeth Lally, M.D.

• All providers in Cincinnati, OH
• Skilled Nursing Facility in Ohio

• 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.