NPIMap

Organization Active NPI

Lakeview Village, Inc

  • Home Health Agency
  • Lenexa, KS
National Provider Identifier
1336192103
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
A-046-091 Issued in KS
Legal business name
LAKEVIEW VILLAGE, INC
Practice address
9100 Park St
Lenexa, KS 66215-3353
Phone
(913) 888-1900
Fax
(913) 888-4141
NPI assigned
May 19, 2006
Organization subpart
Yes
Parent organization
LAKEVIEW VILLAGE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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

Authorized official

Name
Mr. Robert I Clausen Jr., CPA
Title
Chief Financial Officer
Phone
(913) 744-2470

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X KS
Home Health Agency 251E00000X A-046-091 KS Primary

Addresses

Primary practice location

9100 Park St
Lenexa, KS 66215-3353

Mailing address

9100 Park St
Lenexa, KS 66215-3353
Phone (913) 888-1900

Other names 1

  • Lakeview Village Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060818000553 KS Part A Provider - Home Health Agency 5496758112 Practice locations: Lenexa, KS

Home health agency certification: CCN 177286

Legal name
LAKEVIEW VILLAGE, INC.
Doing business as
LAKEVIEW VILLAGE HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 31, 1995
Last certification
Mar 21, 2019
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Enrollment address
9100 Park St
Lenexa, KS 66215-3353

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Lakeview Village Inc3 organizations share this tax ID, including this one
Part of
Lakeview Village Inc

Other organizations with this tax ID 2

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

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Linda Riley Individual W-2 Managing EmployeeClinical Manager Sep 3, 2008
Amanda L Stuke Individual Corporate DirectorBoard Member Jan 1, 2013
George Warman Individual Corporate DirectorBoard Member Dec 20, 2019
Emily Brewster Individual W-2 Managing EmployeeTherapy Director Feb 14, 2021
Robert a West Individual Corporate DirectorBoard Member Jun 1, 2016
Amy Karlin Individual Corporate DirectorBoard Member Mar 1, 2022
Pamela Hermon Individual Corporate OfficerChief Operating Officer Jan 1, 2021
David M Shull Individual Corporate DirectorBoard Member - Secretary/Treasurer Jun 30, 2023
Joan Rogers Individual W-2 Managing EmployeeAd; Jul 3, 2025
Jill R Biesma Individual Corporate DirectorBoard Member Dec 19, 2019
Robert I Clausen Individual Corporate OfficerPresident & Ceo Dec 29, 2008
Lakeview Village, Inc. Organization, Lenexa, KS Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 1999 100%
Jana Bee Triplett Individual Corporate DirectorBoard Member - Past Chair Nov 1, 2017
Jay P Kimbrough Individual Corporate DirectorBoard Member - Board Chair Dec 19, 2019
Brandon J Valasek Individual Corporate OfficerChief Financial Officer Aug 4, 2025

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lakeview VillageLenexa, KS, CCN 175242 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1996

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Affiliated clinicians 17

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

View all 17

Care Compare: Home health agency

Medicare Care Compare
Listed as
Lakeview Village Home HealthCCN 177286
Overall star rating
3.5 of 5
Ownership
Non-Profit
Certified
May 31, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

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
17D0913663Lakeview Village Home Health9100 Park Street, Lenexa, KS 66215Certificate of waiverApr 7, 2028

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397088000000",
    "number": "1336192103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 PARK ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662153353",
            "telephone_number": "913-888-1900",
            "fax_number": "913-888-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 PARK ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662153353",
            "telephone_number": "913-888-1900",
            "fax_number": "913-888-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW VILLAGE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAKEVIEW VILLAGE, INC.",
        "enumeration_date": "2006-05-19",
        "last_updated": "2014-04-10",
        "status": "A",
        "authorized_official_last_name": "CLAUSEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "913-744-2470",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "KS",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "KS",
            "license": "A-046-091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeview Village Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lenexa, KS

Sources for this page

Verify at the official NPI Registry.