Organization Active NPI

Lakewood Health Care Center Inc.

  • Skilled Nursing Facility
  • Hamburg, NY
National Provider Identifier
1679565550
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1430302N Issued in NY
Legal business name
LAKEWOOD HEALTH CARE CENTER INC.
Practice address
5775 Maelou Dr
Hamburg, NY 14075-7419
Phone
(716) 648-2820
Fax
(716) 648-2980
NPI assigned
Aug 17, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Darlene Gale
Title
Director of Accounts Receivable
Phone
(716) 633-0021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1430302N NY Primary

Addresses

Primary practice location

5775 Maelou Dr
Hamburg, NY 14075-7419

Mailing address

5775 Maelou Dr
Hamburg, NY 14075-7419
Phone (716) 648-2820

Other identifiers 1

IdentifierTypeStateIssuer
00872028MedicaidNY

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679565550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5775 MAELOU DR",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140757419",
            "telephone_number": "716-648-2820",
            "fax_number": "716-648-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 MAELOU DR",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140757419",
            "telephone_number": "716-648-2820",
            "fax_number": "716-648-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD HEALTH CARE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GALE",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "DIRECTOR OF ACCOUNTS RECEIVABLE",
        "authorized_official_telephone_number": "716-633-0021",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "1430302N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00872028",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NY

Sources for this page

  • 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.