Active NPI
PF LW Alf Ops, LLC
Doing business as Lakewest Assisted Living
- Assisted Living Facility
- Dallas, TX
National Provider Identifier
1598160715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 142829
- Legal business name
- PF LW ALF OPS, LLC
- Doing business as
- Lakewest Assisted Living
- Practice address
- 3494 Kingbridge Street
Dallas, TX 75212 - Phone
- (972) 899-4401
- NPI assigned
- Oct 30, 2014
- Last updated
- Aug 20, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James M Chance
- Title
- President & Ceo
- Phone
- (214) 725-2837
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 142829 | TX | Primary |
Addresses
Primary practice location
3494 Kingbridge Street
Dallas, TX 75212
Mailing address
1500 Waters Ridge Dr
Lewisville, TX 75057-6011
Phone (972) 899-4401
Other names 1
- Lakewest Assisted Living
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2145611 | Lakewest Assisted Living | Certificate of waiver | Mar 12, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629417600000",
"number": "1598160715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 WATERS RIDGE DR",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750576011",
"telephone_number": "972-899-4401",
"fax_number": "972-899-4460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3494 KINGBRIDGE STREET",
"city": "DALLAS",
"state": "TX",
"postal_code": "75212",
"telephone_number": "972-899-4401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PF LW ALF OPS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-30",
"last_updated": "2021-08-20",
"certification_date": "2021-08-20",
"status": "A",
"authorized_official_last_name": "CHANCE",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "214-725-2837"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "TX",
"license": "142829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lakewest Assisted Living",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Lakewest Assisted Living",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.