Lakeside Rest Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LAKESIDE REST HOME

Practice address

924 Crump St
Swainsboro, GA 30401-5557

Phone

(478) 237-9427

Fax

(478) 237-9429

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Sarah Overstreet

Title

Owner

Phone

(478) 237-9427

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508080649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 CRUMP ST",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304015557",
            "telephone_number": "478-237-9427",
            "fax_number": "478-237-9429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 CRUMP ST",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304015557",
            "telephone_number": "478-237-9427",
            "fax_number": "478-237-9429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE REST HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OVERSTREET",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-237-9427",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jency Stevens Kea, RN
• Lakeisa Kemp
• Lisa Riner Kight
• Sydney Koenig
• Kelli Koon, OT
• Joseph Hampton Lamb
• Harvey Robert Langee Jr., MD
• Sarah Sutton Lewis
• Pamela R Love, N.P
• Nicholas Luecke, NP

• Assisted Living Facility in Swainsboro, GA
• Providers in Swainsboro, GA by specialty
• Assisted Living Facility in Georgia

• 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.