Lake Way SNF Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LAKE WAY SNF OPERATIONS LLC

Doing business as

Lake Way Rehabilitation and Healthcare Center

Practice address

2607 Main St
Benton, KY 42025-7601

Phone

(270) 527-3296

NPI assigned

Jul 16, 2025

Last updated

Feb 4, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

LAKE WAY SNF OPERATIONS LLCAs reported in NPPES

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

Authorized official

Name

Menucha Goodman

Title

Authorized Official

Phone

(848) 201-8402

Specialties & licenses 1

Addresses

Other names 1

• Lake Way Rehabilitation and Healthcare Center Doing business as

Part of

Lake Way SNF Operations LLC

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1699667691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 MAIN ST",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420257601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 MAIN ST",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420257601",
            "telephone_number": "270-527-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE WAY SNF OPERATIONS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAKE WAY SNF OPERATIONS LLC",
        "enumeration_date": "2025-07-16",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "MENUCHA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "848-201-8402"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Way Rehabilitation and Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chloe Kerrick, PA-C
• Kenneth B King, MD
• Cady Knight, APRN
• Diane Kolenich, A.R.N.P.
• Arnold Melvin Krause, D.C.
• Nathan Lamb
• Carolyn Lamm, PHARMD
• Brittnay Lavassaur
• Karen Dawn Lee, MSN, ARNP-BC
• Rainie Lee, CCC-SLP

• Skilled Nursing Facility in Benton, KY
• Providers in Benton, KY by specialty
• Skilled Nursing Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.