LS Mesquite Operator LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LS MESQUITE OPERATOR LLC

Doing business as

Mesquite Village Healthcare Centre

Practice address

825 W Kearney St
Mesquite, TX 75149-3206

Phone

(972) 288-7668

Fax

(972) 216-7627

NPI assigned

Feb 5, 2019

Organization subpart

No

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

Authorized official

Name

Mark Lazar

Title

Authorized Representative

Phone

(323) 651-1808

Specialties & licenses 1

Addresses

Other names 1

• Mesquite Village Healthcare Centre Doing business as

Locations

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602201600000",
    "number": "1215492095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 W KEARNEY ST",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751493206",
            "telephone_number": "972-288-7668",
            "fax_number": "972-285-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 W KEARNEY ST",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751493206",
            "telephone_number": "972-288-7668",
            "fax_number": "972-216-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LS MESQUITE OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-05",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "LAZAR",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "323-651-1808"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mesquite Village Healthcare Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.