Lakewood Landing, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LAKEWOOD LANDING, INC.

Practice address

4401 21St St SE
Mandan, ND 58554

Phone

(701) 751-6191

NPI assigned

Aug 7, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Susan Bala

Title

Secretary/Treasurer

Phone

(218) 790-6427

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375833600000",
    "number": "1639501141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 21ST ST SE",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "58554",
            "telephone_number": "701-751-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 21ST ST SE",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "58554",
            "telephone_number": "701-751-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD LANDING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-08-07",
        "status": "A",
        "authorized_official_last_name": "BALA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "218-790-6427",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis Krueger
• Steve Kukowski
• Tavia Kuntz
• Lisa J Lafleur, PT
• Shaniqua Lafontant
• Samantha J Landenberger, MS OTR/L
• Frederick Arnold Landgrebe
• Julie Lang
• Karen Marie Lang, MASSAGE THERAPIST
• Katelyn Norma Lang

• All providers in Mandan, ND
• Assisted Living Facility in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.