NPIMap

Organization Active NPI

Lakeview Christian Home of the Southwest, Inc.

Doing business as Lakeview Christian Hospice & Home Health

  • Community Based Hospice Care Agency
  • Carlsbad, NM
National Provider Identifier
1487644464
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
3000 Issued in NM
Legal business name
LAKEVIEW CHRISTIAN HOME OF THE SOUTHWEST, INC.
Doing business as
Lakeview Christian Hospice & Home Health
Practice address
1300 N Canal St
Carlsbad, NM 88220-4600
Phone
(505) 887-3947
Fax
(505) 234-1905
NPI assigned
Oct 21, 2005
Last updated
Jul 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

Authorized official

Name
Ms. Joanna D. Knox
Title
C.E.O.
Phone
(505) 887-3947

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 6567 NM
Community Based Hospice Care Agency 251G00000X 3000 NM Primary
Nursing Care Agency 251J00000X 5088 NM
Assisted Living Facility 310400000X 5553 NM
Skilled Nursing Facility 314000000X 5088 NM

Addresses

Primary practice location

1300 N Canal St
Carlsbad, NM 88220-4600

Mailing address

1905 W Pierce St
Carlsbad, NM 88220-4025
Phone (505) 887-3947

Other identifiers 3

IdentifierTypeStateIssuer
B5046MedicaidNM
I0381MedicaidNM
N3177MedicaidNM

Other names 1

  • Lakeview Christian Hospice & Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100331000462 NM Part A Provider - Skilled Nursing Facility 7719013580 Practice locations: Carlsbad, NM
O20120604000482 NM Part A Provider - Hospice 7719013580 Practice locations: Carlsbad, NM
O20161207000591 NM Part A Provider - Home Health Agency 7719013580 Practice locations: Carlsbad, NM

NPI to CCN mapping 3

The Medicare certification numbers (CCNs) connected to NPI 1487644464. Details of each certification follow.

Skilled nursing facility certification: CCN 325087

Legal name
LAKEVIEW CHRISTIAN HOME OF THE SOUTHWEST, INC.
Doing business as
NORTHGATE UNIT OF LAKEVIEW CHRISTIAN HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 20, 1992
Last certification
Apr 5, 2025
Beds
112
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 3, 1960 in NM
Enrollment address
1905 W Pierce St
Carlsbad, NM 88220-4025
Nursing home name
NORTHGATE UNIT OF LAKEVIEW CHRISTIAN HOME

Hospice certification: CCN 321540

Legal name
LAKEVIEW CHRISTIAN HOME OF THE SOUTHWEST, INC.
Doing business as
LAKEVIEW CHRISTIAN HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 18, 2000
Last certification
Mar 3, 2022
Ownership / control type
Non-Profit - Church
Organization structure
CorporationNon-profit
Incorporated
Aug 3, 1960 in NM
Enrollment address
1300 North Canal Street
Carlsbad, NM 88220-4600

Home health agency certification: CCN 327161

Legal name
LAKEVIEW CHRISTIAN HOME OF THE SOUTHWEST, INC.
Doing business as
LAKEVIEW CHRISTIAN HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 21, 1996
Last certification
Oct 4, 2019
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Aug 1, 1961 in NM
Enrollment address
1300 N Canal St
Carlsbad, NM 88220-4600
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Lakeview Christian Home HealthCCN 327161 · All quality measures
Overall star rating
3 of 5
Ownership
Non-Profit
Certified
Oct 21, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Care Compare: Hospice

Medicare Care Compare
Listed as
Lakeview Christian HospiceCCN 321540 · All quality measures
Ownership
Other
Certified
Apr 18, 2000
Medicare certification status
ActiveFrom the Provider of Services file

Care Compare: Nursing home

Medicare Care Compare
Listed as
Northgate Unit Of Lakeview Christian HomeCCN 325087 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Aug 20, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11278.3 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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
32D0673655Northgate Unit of Lakeview Christian1905 W Pierce St, Carlsbad, NM 88220Certificate of waiverAug 31, 2026
32D0918475Lakeview Christian Home Health1300 North Canal, Carlsbad, NM 88220Certificate of waiverAug 8, 2026
32D0967916Lakeview Christian Hospice Care1300 N Canal, Carlsbad, NM 88220Certificate of waiverNov 28, 2027

National Provider Directory

National Provider Directory

Locations

1900 Westridge Rd
Carlsbad, NM 88220
Phone (575) 725-5552

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
James T Ross Individual Corporate OfficerBoard VP Jan 10, 1993
OtherBoard Member Vice President of B Nov 8, 2016
Corporate OfficerBoard Vice President Jun 6, 2012
Alan Wood Individual Corporate OfficerBoard President Jan 1, 1993
OtherPrsident Dec 6, 2016
Corporate OfficerBoard President Jun 6, 2012
Denise Sevcik Individual Corporate OfficerBoard Secretary Oct 27, 2011
OtherBoard Member Dec 6, 2016
Corporate OfficerBoard Secretary Jun 6, 2012
Joanna D Knox Individual Corporate DirectorCeo / Administrator Jan 1, 1993
Operational/Managerial Control Jan 1, 1993
Adp of the SNF Jan 1, 1993
Corporate OfficerCeo Nov 7, 2016
W-2 Managing EmployeeCeo Jun 6, 2012
Operational/Managerial ControlCeo Jan 1, 1993
Siavash Karimian Individual Adp of the SNF Jan 27, 2025
Timothy Deines Individual Corporate DirectorBoard Member Jan 1, 1993
OtherBoard Member Nov 8, 2016
Corporate DirectorBoard Member Sep 24, 1998
Iris Wisnoski Individual W-2 Managing EmployeeHome Health Director Nov 8, 2016
Linda D Briggs Individual W-2 Managing EmployeeCfo Nov 8, 2016
Janice L Wright Individual OtherBoard Member Nov 8, 2016
Randy Allison Individual OtherBoard Member Nov 8, 2016
Talmadge Murphy Individual Corporate DirectorBoard Member Jun 27, 2019
Georgina Stroble Individual W-2 Managing EmployeeComptroller Dec 1, 2021
Mayra Heras Individual W-2 Managing EmployeeHospice Director Jun 1, 2022
Perry Conner Individual Corporate DirectorBoard Member Jul 26, 2018

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 8

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

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1487644464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 W PIERCE ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882204025",
            "telephone_number": "505-887-3947",
            "fax_number": "505-234-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N CANAL ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882204600",
            "telephone_number": "505-887-3947",
            "fax_number": "505-234-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW CHRISTIAN HOME OF THE SOUTHWEST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-21",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "KNOX",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "505-887-3947",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NM",
            "license": "6567",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NM",
            "license": "3000",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NM",
            "license": "5088",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NM",
            "license": "5553",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NM",
            "license": "5088",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B5046",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "I0381",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N3177",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeview Christian Hospice & Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carlsbad, NM

Sources for this page

Verify at the official NPI Registry.