Lakewood Senior Living of Seville LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N087010 Issued in KS

Legal business name

LAKEWOOD SENIOR LIVING OF SEVILLE LLC

Practice address

1319 Seville St
Wichita, KS 67209-1828

Phone

(316) 722-5641

NPI assigned

Nov 24, 2006

Organization subpart

No

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

Authorized official

Name

Tom Kent

Title

Executive Vice President

Phone

(205) 320-7554

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639244536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 7TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352333503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 SEVILLE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672091828",
            "telephone_number": "316-722-5641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD SENIOR LIVING OF SEVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KENT",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "205-320-7554"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N087010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100001100125",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lakepoint at Crestview
• Lakepoint Carriage House
• Lakepoint Dental Health & Aesthetics, P.a.
• Lakepoint Family Physicians PA
• Lakepoint Wichita, LLC
• Lakewood Senior Living of Seville, LLC
• Gregory F Lakin, D.O., J.D.
• Robert C Lakin, MD
• Andrea Renee Lakous, RN
• Bertha Denise Lakous, ANP

• Skilled Nursing Facility in Wichita, KS
• Providers in Wichita, KS by specialty
• Skilled Nursing Facility in Kansas

• 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.