Organization Active NPI

Lakeview Village Inc

  • Assisted Living Facility
  • Amana, IA
National Provider Identifier
1417017005
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
S0103 Issued in IA
Legal business name
LAKEVIEW VILLAGE INC
Practice address
3012 F Dr
Amana, IA 52203-8224
Phone
(319) 622-6500
Fax
(319) 622-6046
NPI assigned
Dec 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Rodney Buch
Title
Administrator
Phone
(319) 622-3131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X S0103 IA Primary

Addresses

Primary practice location

3012 F Dr
Amana, IA 52203-8224

Mailing address

3012 F Dr
Amana, IA 52203-8224
Phone (319) 622-6500

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
16D1060607Lakeview Village, Inc3012 F Drive, Amana, IA 52203Certificate of waiverOct 26, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417017005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 F DR",
            "city": "AMANA",
            "state": "IA",
            "postal_code": "522038224",
            "telephone_number": "319-622-6500",
            "fax_number": "319-622-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 F DR",
            "city": "AMANA",
            "state": "IA",
            "postal_code": "522038224",
            "telephone_number": "319-622-6500",
            "fax_number": "319-622-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW VILLAGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUCH",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "319-622-3131"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "S0103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amana, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.