Lakeside Guest Home, Inc.

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

LAKESIDE GUEST HOME, INC.

Doing business as

ROLLING HILLS RESIDENTIAL CARE

Practice address

9220 Mt View Dr
Atascadero, CA 93422-5016

Phone

(805) 466-0250

NPI assigned

Mar 31, 2008

Organization subpart

No

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

Authorized official

Name

Diana Kay Bishop

Title

Licensee/Administrator

Phone

(805) 610-7861

Specialties & licenses 1

Addresses

Other names 1

• ROLLING HILLS RESIDENTIAL CARE Doing business as

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1306018361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 MT VIEW DR",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934225016",
            "telephone_number": "805-466-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 MT VIEW DR",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934225016",
            "telephone_number": "805-466-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE GUEST HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "LICENSEE/ADMINISTRATOR",
        "authorized_official_telephone_number": "805-610-7861"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROLLING HILLS RESIDENTIAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey Steven Kurz, M.D.
• Phylissa Kwartner, PH.D.
• Lags Spine & Sportscare Medical Center, Inc.
• Kendra Marie Laguilles
• Lara C Laity, MS, LMFT 125458
• Michelle Leigh Lakey, FNP
• Piper Allessandra Langan
• David Lange, LMFT
• Stephani Marie Langley
• Christina Lara

• Assisted Living Facility (Behavioral Disturbances) in Atascadero, CA
• Providers in Atascadero, CA by specialty
• Assisted Living Facility (Behavioral Disturbances) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.