NPIMap

Organization Active NPI

Lakeview Village, Inc.

Doing business as Lakeview Village Outpatient Therapy

  • Rehabilitation Clinic/Center
  • Lenexa, KS
National Provider Identifier
1457736548
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
LAKEVIEW VILLAGE, INC.
Doing business as
Lakeview Village Outpatient Therapy
Practice address
9000 Park St
Lenexa, KS 66215-3326
Phone
(913) 888-1900
Fax
(913) 888-4141
NPI assigned
Jul 30, 2015
Last updated
Jul 30, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
LAKEVIEW VILLAGE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

9000 Park St
Lenexa, KS 66215-3326

Mailing address

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

Other names 1

  • Lakeview Village Outpatient Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150903001188 KS Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 5496758112 Practice locations: Lenexa, KS; Prairie Village, KS; Overland Park, KS; Mission, KS

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 Village3 organizations share this tax ID, including this one
Part of
Lakeview Village

Other organizations with this tax ID 2

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

Locations

9300 Parkside Dr
Prairie Village, KS 66207
Phone (913) 349-2900

Ownership & related parties

All facility ownership & control disclosures 2

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
Lakeview Village Home HealthLenexa, KS, CCN 177286 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1999

Owned or controlled facilities with NPI records 2

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1457736548",
    "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": "9000 PARK ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662153326",
            "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": "2015-07-30",
        "last_updated": "2015-07-30",
        "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": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeview Village Outpatient Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lenexa, KS

Sources for this page

Verify at the official NPI Registry.