Lake View Residential Care, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

032805 Issued in MO

Legal business name

LAKE VIEW RESIDENTIAL CARE, LLC

Practice address

HC 2 Box 2070
Wappapello, MO 63966-9508

Phone

(573) 222-8676

NPI assigned

Mar 23, 2007

Last updated

Aug 22, 2020By 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

Shirley Stewart

Title

Owner

Phone

(573) 222-8676

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477670560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 2070",
            "city": "WAPPAPELLO",
            "state": "MO",
            "postal_code": "639669508",
            "telephone_number": "573-222-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 2070",
            "city": "WAPPAPELLO",
            "state": "MO",
            "postal_code": "639669508",
            "telephone_number": "573-222-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE VIEW RESIDENTIAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-222-8676"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "032805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Hinton
• Sampson J Howard
• Nichole Rene Jarvis
• Ashley Jones
• Lake View Home Care, LLC
• Lakeview Home Care Phase II, LLC
• Shannon Lee Latham
• Paige Chylon Matthews
• Alexandria Lynne Miller
• Katie Jean Miller

• Assisted Living Facility in Wappapello, MO
• Providers in Wappapello, MO by specialty
• Assisted Living Facility in Missouri

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.