Lakewood Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

106844 Issued in TX

Legal business name

LAKEWOOD ASSISTED LIVING

Doing business as

Lakewood Assisted Living

Practice address

6424 FM 2965
Wills Point, TX 75169-8618

Phone

(469) 733-3261

NPI assigned

Aug 11, 2017

Organization subpart

No

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

Authorized official

Name

Konette Horton, ASSISTED LIVING LIC

Title

Owner/Admin

Phone

(469) 733-3261

Specialties & licenses 1

Addresses

Other names 1

• Lakewood Assisted Living Doing business as

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1629593587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6424 FM 2965",
            "city": "WILLS POINT",
            "state": "TX",
            "postal_code": "751698618",
            "telephone_number": "469-733-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6424 FM 2965",
            "city": "WILLS POINT",
            "state": "TX",
            "postal_code": "751698618",
            "telephone_number": "469-733-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-11",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "HORTON",
        "authorized_official_first_name": "KONETTE",
        "authorized_official_title_or_position": "OWNER/ADMIN",
        "authorized_official_telephone_number": "469-733-3261",
        "authorized_official_credential": "ASSISTED LIVING LIC"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "106844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakewood Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Ann Jacobs, LVN
• Jaime Hall-Malouf, O.D. 20/20 Vision Care, P.C.
• Jaime Hall-Malouf, O.D. 20/20 Vision Care, P.C.
• Joyce Jones
• Conner Knoble, MS, LAT, ATC
• Kimberly Diane Lane, RN
• Andrea Michelle Langston, APRN
• Kristina Marie Leipply
• Michael Malcik, PHD
• Allison Markee, DC

• Assisted Living Facility in Wills Point, TX
• Providers in Wills Point, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.