Organization Active NPI

Lakepoint Wichita, LLC

Doing business as Lakepoint Retirement & Rehab Center of Wichita

  • Skilled Nursing Facility
  • Wichita, KS
National Provider Identifier
1275536609
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
N087049 Issued in KS
Legal business name
LAKEPOINT WICHITA, LLC
Doing business as
Lakepoint Retirement & Rehab Center of Wichita
Practice address
1315 N West St
Wichita, KS 67203-1382
Phone
(316) 943-1294
Fax
(316) 943-8190
NPI assigned
May 31, 2005
Last updated
Dec 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Authorized official

Name
Mrs. Cheryl L Lavallee
Title
Coo
Phone
(316) 260-9494

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X N087049 KS
Skilled Nursing Facility 314000000X N087049 KS Primary

Addresses

Primary practice location

1315 N West St
Wichita, KS 67203-1382

Mailing address

1315 N West St
Wichita, KS 67203-1382
Phone (316) 943-1294

Other identifiers 2

IdentifierTypeStateIssuer
100429630AMedicaidKS
100455930AMedicaidKS

Other names 1

  • Lakepoint Retirement & Rehab Center of Wichita Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030711000059 KS Part A Provider - Skilled Nursing Facility 0042121931 Practice locations: Wichita, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275536609. Details of each certification follow.

Skilled nursing facility certification: CCN 175466

Legal name
LAKEPOINT WICHITA LLC
Doing business as
LAKEPOINT RETIREMENT & REHAB CENTER OF WICHITA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 4, 2003
Last certification
Dec 4, 2024
Beds
197 (110 certified)
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Axiom Healthcare Services
Organization structure
LLCProprietary
Enrollment address
1315 N West St
Wichita, KS 67203-1382
Nursing home name
LAKEPOINT WICHITA, LLC

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lakepoint Wichita, LLCCCN 175466 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 4, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11071.3 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
17D0663689Lakepoint Retirement and Rehab Center of Wichita1315 N West St, Wichita, KS 67203Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Lakepoint Carriage House2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Warner E Harrison Individual 5% Or Greater Direct Ownership Interest Feb 15, 2002 50%
Corporate DirectorBoard of Managers Mar 1, 2024 50%
Operational/Managerial ControlBoard of Managers Mar 1, 2024 50%
Chance C Becnel Individual Corporate DirectorBoard of Managers Mar 1, 2024 16.67%
Operational/Managerial ControlBoard of Managers Mar 1, 2024 16.67%
Brenda M Kruse Individual Corporate OfficerCfo Mar 1, 2024
Gregory F Lakin Individual Corporate DirectorBoard of Managers Mar 1, 2024 16.67%
Operational/Managerial ControlBoard of Managers Mar 1, 2024 16.67%
Lakepoint by Axiom, LLC Organization, Wichita, KS Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Mar 1, 2024 50%
Brian Barbeau Individual Corporate DirectorBoard of Managers Mar 1, 2024 16.67%
Operational/Managerial ControlBoard of Managers Mar 1, 2024 16.67%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1275536609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 N WEST ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672031382",
            "telephone_number": "316-943-1294",
            "fax_number": "316-943-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 N WEST ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672031382",
            "telephone_number": "316-943-1294",
            "fax_number": "316-943-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEPOINT WICHITA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "LAVALLEE",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "316-260-9494",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "KS",
            "license": "N087049",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N087049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100429630A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100455930A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakepoint Retirement & Rehab Center of Wichita",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lakepoint Retirement & Rehab Center of Wichita",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.