Lakeview Ranch, Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

FBL001772920487 Issued in MN

Legal business name

LAKEVIEW RANCH, INC.

Practice address

69531 213TH St
Darwin, MN 55324-6602

Phone

(320) 275-4027

Fax

(320) 275-4028

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Judy A Berry

Title

Ceo

Phone

(320) 275-4027

Specialties & licenses 1

Addresses

Other identifiers 1

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Lakeview Ranch Inc.

  • Alzheimer Center (Dementia Center)
  • Dassel, MN
  • NPI 1083942221
  NPPES parent name

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235210568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69531 213TH ST",
            "city": "DARWIN",
            "state": "MN",
            "postal_code": "553246602",
            "telephone_number": "320-275-4027",
            "fax_number": "320-275-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69531 213TH ST",
            "city": "DARWIN",
            "state": "MN",
            "postal_code": "553246602",
            "telephone_number": "320-275-4027",
            "fax_number": "320-275-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW RANCH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "320-275-4027",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MN",
            "license": "FBL001772920487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0566381",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corrinna Valentine Bigot
• Lakeview Ranch Healthcare LLC
• Linda Marie Olinger-Schneider, RN
• Vacker Place

• Mental Illness Community Based Residential Treatment Facility in Darwin, MN
• Providers in Darwin, MN by specialty
• Mental Illness Community Based Residential Treatment Facility in Minnesota

• 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.