Lakewood Senior Living of Pratt, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N076002 Issued in KS

Legal business name

LAKEWOOD SENIOR LIVING OF PRATT, LLC

Practice address

1221 Larimer St
Pratt, KS 67124-1241

Phone

(620) 672-6541

NPI assigned

Nov 20, 2006

Last updated

May 26, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas 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": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306368000000",
    "number": "1699849919",
    "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": "1221 LARIMER ST",
            "city": "PRATT",
            "state": "KS",
            "postal_code": "671241241",
            "telephone_number": "620-672-6541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD SENIOR LIVING OF PRATT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2011-05-26",
        "status": "A",
        "authorized_official_last_name": "KENT",
        "authorized_official_first_name": "THOMAS",
        "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": "N076002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200251070A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ian S Kovach, MD, PHD
• Calvin L Kruger II, P.A.
• Steven M Kunz, DMD
• L Ronald Ingram DDS PA
• Laboratory Corporation of America Holdings
• Lakewood Senior Living of Pratt, LLC
• Jennifer Marie Lamatsch, OTR/L
• Jennifer L Leeper, PA
• Terri Liggett, LMSW
• Kole Robert Lopez, DDS

• Skilled Nursing Facility in Pratt, KS
• Providers in Pratt, 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 May 26, 2011; 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.