Organization Active NPI

Lakeview House Inc

  • Skilled Nursing Facility
  • Haverhill, MA
National Provider Identifier
1215921747
Registry record updated Nov 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1373 Issued in MA
Legal business name
LAKEVIEW HOUSE INC
Practice address
87 Shattuck St
Haverhill, MA 01830-2319
Phone
(978) 372-1081
Fax
(978) 372-0681
NPI assigned
Sep 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2011

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

Authorized official

Name
Mr. Jon Guarino, NHA
Title
Administrator
Phone
(978) 372-1081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1373 MA Primary

Addresses

Primary practice location

87 Shattuck St
Haverhill, MA 01830-2319

Mailing address

87 Shattuck St
Haverhill, MA 01830-2319
Phone (978) 372-1081

Other identifiers 1

IdentifierTypeStateIssuer
0914495MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111216000471 MA Part A Provider - Skilled Nursing Facility 3577738756 Practice locations: Haverhill, MA

Skilled nursing facility certification: CCN 225401

Legal name
LAKEVIEW HOUSE INC
Doing business as
LAKEVIEW HOUSE SKILLED NURSING AND RESIDENTIAL CARE FACILITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1990
Last certification
Aug 7, 2024
Beds
91
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Enrollment address
87 Shattuck St
Haverhill, MA 01830-2319
Nursing home name
LAKEVIEW HOUSE SKLD NRSG AND RESIDENTIAL CARE FAC

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lakeview House SKLD NRSG and Residential Care FacCCN 225401 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 1, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9122.8 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0927675Lakeview House Nursing Home87 Shattuck St, Haverhill, MA 01830Certificate of waiverApr 24, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Joseph E Romatelli Individual Operational/Managerial Control Dec 9, 2019
Adp of the SNF Dec 9, 2019
Jon D Guarino Individual 5% Or Greater Direct Ownership InterestPresident Jul 1, 1983 50%
Corporate OfficerPresident Jul 1, 1983 100%
Operational/Managerial Control Jul 1, 1983
Adp of the SNF Jul 1, 1983
Direct Ownership Interest Jul 1, 1983 50%
William P Grimes Individual Operational/Managerial Control Dec 9, 2019
Adp of the SNF Dec 9, 2019
Individual Adp of the SNF Jan 29, 2025
Kathleen a Gaurino Individual 5% Or Greater Direct Ownership InterestVice President Jul 1, 1983 50%
Adp of the SNF Jul 1, 1983
Direct Ownership Interest Jul 1, 1983 50%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320624000000",
    "number": "1215921747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 SHATTUCK ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018302319",
            "telephone_number": "978-372-1081",
            "fax_number": "978-372-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 SHATTUCK ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018302319",
            "telephone_number": "978-372-1081",
            "fax_number": "978-372-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-12",
        "last_updated": "2011-11-07",
        "status": "A",
        "authorized_official_last_name": "GUARINO",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "978-372-1081",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "1373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0914495",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverhill, MA

Sources for this page

Verify at the official NPI Registry.