Lakeview Medical Center, LLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

LAKEVIEW MEDICAL CENTER, LLC

Doing business as

Lakeview Regional Medical Center

Practice address

95 Judge Tanner Blvd
Covington, LA 70433-7500

Phone

(985) 867-3800

Fax

(985) 867-4449

NPI assigned

May 31, 2006

Last updated

Apr 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tim Breslin

Title

Cfo

Phone

(985) 867-4446

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• LAKEVIEW REGIONAL MEDICAL CENTER Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295772259. Details of each certification follow.

• CCN 190177 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 190177

Legal name

LAKEVIEW REGIONAL MEDICAL CENTER

Certification status

Terminated Voluntary: merger or closure, May 7, 2017

Provider type (POS)

Hospital – Short-term

Participating since

Nov 1, 1978

Last certification

Sep 2, 2011

Beds

167

Ownership / control type

Private (for profit)

Most recent change of ownership

Jan 1, 1999 (1 total)

Facility address

95 Judge Tanner Boulevard
Covington, LA 70433

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 Medical Center, LLC

  dba Lakeview Regional Medical Center

  • Psychiatric Hospital Unit
  • Covington, LA
  • NPI 1982650206
  NPPES parent name

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1295772259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 JUDGE TANNER BLVD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337500",
            "telephone_number": "985-867-3800",
            "fax_number": "985-867-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 JUDGE TANNER BLVD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337500",
            "telephone_number": "985-867-3800",
            "fax_number": "985-867-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "BRESLIN",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "985-867-4446"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03578096",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "60094",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT LABOR",
            "identifier": "166327100",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1766836",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "275768",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKEVIEW REGIONAL MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michele Marie Lajaunie, M.D.
• Lake Wellness Center, LLC
• Lakeshore Physical Therapy Contract Services, LLC
• Lakeshore Surgical Associates of la
• Lakeview Cardiology Specialists, LLC
• Lakeview Medical Center, LLC (Lakeview Regional Medical Center)
• Lakeview Regional Physician Group LLC
• Lakeview Trauma and Critical Care, LLC
• Randy C. Lala, CSTFA
• Kristy Lalonde

• General Acute Care Hospital in Covington, LA
• Providers in Covington, LA by specialty
• General Acute Care Hospital in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.