Lake Country Healthcare, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LAKE COUNTRY HEALTHCARE, LLC

Doing business as

Green Acres

Practice address

983 N Highway 19 (Texas Street)
Emory, TX 75440-0040

Phone

(903) 473-3752

Fax

(903) 473-3141

NPI assigned

Mar 27, 2007

Last updated

Oct 24, 2007By 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

David Lemons, LNFA

Title

Administrator

Phone

(903) 473-3752

Specialties & licenses 1

Addresses

Other names 1

• Green Acres Doing business as

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1164540928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "EMORY",
            "state": "TX",
            "postal_code": "754400040",
            "telephone_number": "903-473-3752",
            "fax_number": "903-473-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "983 N HIGHWAY 19 (TEXAS STREET)",
            "city": "EMORY",
            "state": "TX",
            "postal_code": "754400040",
            "telephone_number": "903-473-3752",
            "fax_number": "903-473-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE COUNTRY HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "LEMONS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "903-473-3752",
        "authorized_official_credential": "LNFA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Acres",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hunt Memorial Hospital District (Hunt Regional Family Medicine Emory)
• Hunt Regional Medical Partners (Hunt Regional Family Medicine Emory)
• Jordan's Place Pediatrics, PA (Jordan's Place Pediatrics Emory)
• Jordan's Place Pediatrics, PA
• Eric Lee Ketchum, O.D.
• Lake Fork Physical Therapy, PLLC
• Alexis Ledyard
• Aubree Elizabeth Lemarr, FNP-C
• Kyle Lemarr
• Michael Sean Magill, F.N.P.

• Skilled Nursing Facility in Emory, TX
• Providers in Emory, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.