Lakeside Senior Living Alf Operations LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LAKESIDE SENIOR LIVING ALF OPERATIONS LLC

Practice address

2125 Hilliard Rd
Richmond, VA 23228-4600

Phone

(703) 379-7200

NPI assigned

Dec 6, 2022

Organization subpart

No

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

Authorized official

Name

Joseph Lieberman

Title

Vice President of Procurement

Phone

(646) 275-4510

Specialties & licenses 1

Addresses

Other names 1

• Lakeside Senior Doing business as

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1235840653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 HILLIARD RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232284600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 HILLIARD RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232284600",
            "telephone_number": "703-379-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE SENIOR LIVING ALF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "VICE PRESIDENT OF PROCUREMENT",
        "authorized_official_telephone_number": "646-275-4510"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Senior",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carlene Laine
• Fred J Laine, M.D.
• Ian M Laing, CRNA
• Barbara B Laird, NP
• Holly R Lake-Walker, PHARMD
• Lakeside VA SNF Operations LLC
• Lakewood Manor Baptist Retirement Community
• Sultan A Lakhani, MD
• Alex Canh Lam, DDS
• Lyna Chen Lam, DO

• Assisted Living Facility in Richmond, VA
• Providers in Richmond, VA by specialty
• Assisted Living Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.