Active NPI
Lakepoint Wichita, LLC
Doing business as Lakepoint Retirement & Rehab Center of Wichita
- Skilled Nursing Facility
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- N087049
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100429630A | Medicaid | KS | |
| 100455930A | Medicaid | KS |
Other names 1
- Lakepoint Retirement & Rehab Center of Wichita
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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, LLC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jul 4, 2003
- Medicare certification status
- Active
- Certified beds
- 110
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D0663689 | Lakepoint Retirement and Rehab Center of Wichita | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Lakepoint Carriage House
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Wichita, KS
- NPI 1609038728
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Warner E Harrison | 5% Or Greater Direct Ownership Interest | Feb 15, 2002 | 50% |
| Corporate Director | Mar 1, 2024 | 50% | |
| Operational/Managerial Control | Mar 1, 2024 | 50% | |
| Chance C Becnel | Corporate Director | Mar 1, 2024 | 16.67% |
| Operational/Managerial Control | Mar 1, 2024 | 16.67% | |
| Brenda M Kruse | Corporate Officer | Mar 1, 2024 | |
| Gregory F Lakin | Corporate Director | Mar 1, 2024 | 16.67% |
| Operational/Managerial Control | Mar 1, 2024 | 16.67% | |
| Lakepoint by Axiom, LLC | 5% Or Greater Direct Ownership Interest | Mar 1, 2024 | 50% |
| Brian Barbeau | Corporate Director | Mar 1, 2024 | 16.67% |
| Operational/Managerial Control | 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.
-
- Family Medicine Physician
- Wichita, KS
- NPI 1003867953
Corporate Director, Operational/Managerial Control
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.
-
- Family Medicine Physician
- Wichita, KS
- NPI 1972566073
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
- Elise Christine Lake, CRNA
- Lakepoint at Crestview
- Lakepoint Carriage House
- Lakepoint Dental Health & Aesthetics, P.a.
- Lakepoint Family Physicians PA
- Lakewood Senior Living of Seville LLC
- Lakewood Senior Living of Seville, LLC (Lakewood Senior Living of Seville)
- Gregory F Lakin, D.O., J.D.
- Robert C Lakin, MD
- Andrea Renee Lakous, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.