Lakewood Senior Living of Seville, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N087010 Issued in KS

Legal business name

LAKEWOOD SENIOR LIVING OF SEVILLE, LLC

Doing business as

Lakewood Senior Living of Seville

Practice address

1319 Seville St.
Wichita, KS 67209-1828

Phone

(316) 722-6916

Fax

(317) 722-5641

NPI assigned

Jun 3, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. April M Puccetti, NHA

Title

Vice President of Operations

Phone

(205) 320-7507

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Lakewood Senior Living of Seville Doing business as

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1205874997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 SEVILLE ST.",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672091828",
            "telephone_number": "316-722-6916",
            "fax_number": "316-722-5641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 SEVILLE ST.",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672091828",
            "telephone_number": "316-722-6916",
            "fax_number": "317-722-5641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD SENIOR LIVING OF SEVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "PUCCETTI",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "205-320-7507",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N087010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100109700A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200573270A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakewood Senior Living of Seville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lakepoint Family Physicians PA
• Lakepoint Wichita, LLC
• Lakewood Senior Living of Seville LLC
• Gregory F Lakin, D.O., J.D.
• Robert C Lakin, MD
• Andrea Renee Lakous, RN
• Bertha Denise Lakous, ANP
• Janice Lam, CPTA

• Skilled Nursing Facility in Wichita, KS
• Providers in Wichita, KS by specialty
• Skilled Nursing Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.