Lakeview Subacute Care Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

61610 Issued in NJ

Legal business name

LAKEVIEW SUBACUTE CARE CENTER, INC.

Practice address

130 Terhune Dr
Wayne, NJ 07470-7104

Phone

(973) 616-5815

Fax

(973) 616-2768

NPI assigned

Mar 29, 2007

Last updated

Aug 22, 2020By 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

Mr. Richard Frank Grosso Jr., LNHA

Title

Administrator

Phone

(973) 616-5815

Specialties & licenses 1

Addresses

Other identifiers 8

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215057831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 TERHUNE DR",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707104",
            "telephone_number": "973-616-5815",
            "fax_number": "973-616-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 TERHUNE DR",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707104",
            "telephone_number": "973-616-5815",
            "fax_number": "973-616-2768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW SUBACUTE CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GROSSO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "973-616-5815",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "61610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "0047847",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "315110",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH",
            "identifier": "ANC268",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA USHC",
            "identifier": "0047847",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "4552",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "92624",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4496205",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "CV09616",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• KZ Corporation (Atrium Post Acute Care of Wayne)
• Caitlin Diane Labarbera, M.A., BCBA
• Richard G Laham, PTA
• Robert George Lahita, MD, PH.D.
• Samantha Lainez
• Marcia Laky, PH.D.
• Sandra Lynn Laky, LAC
• Stephen Bernard Laky, LPC
• James Lampariello, MD
• Melissa Danielle Lara, BCBA

• Skilled Nursing Facility in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Skilled Nursing Facility in New Jersey

• 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.