Lakeside Home Plus LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

B059010 Issued in KS

Legal business name

LAKESIDE HOME PLUS LLC

Practice address

1108 E Simpson St
McPherson, KS 67460-4502

Phone

(602) 241-5030

Fax

(620) 241-1697

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Debra S. Ribordy, R.N.

Title

Owner

Phone

(620) 241-5030

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194870188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 E SIMPSON ST",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674604502",
            "telephone_number": "602-241-5030",
            "fax_number": "620-241-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 E SIMPSON ST",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674604502",
            "telephone_number": "602-241-5030",
            "fax_number": "620-241-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE HOME PLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIBORDY",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-241-5030",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "KS",
            "license": "B059010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Douglas Kuhn, CRNA
• Brian Lee Kynaston, DDS
• Dustin Taylor Kynaston, DDS
• Brandon E. Labertew, P.T.
• Laura Ann Labertew, MS CCC-SLP
• Elizabeth L Lansdowne, DPT
• Nickia B Larsen
• James Ray Larzalere, MD
• Legacy Eyecare Inc
• Mary Virginia Cobb Lemon, LSCSW

• Assisted Living Facility in McPherson, KS
• Providers in McPherson, KS by specialty
• Assisted Living Facility in Kansas

• 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.