Lakeview Manor, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

04-000032-01 Issued in IN

Legal business name

LAKEVIEW MANOR, INC.

Doing business as

Lakeview Manor

Practice address

45 Beachway Dr
Indianapolis, IN 46224-8501

Phone

(317) 243-3721

Fax

(317) 240-4357

NPI assigned

Sep 26, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Dean Paino

Title

President

Phone

(317) 243-3721

Specialties & licenses 1

Addresses

Other names 1

• Lakeview Manor Doing business as

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710973664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 BEACHWAY DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462248501",
            "telephone_number": "317-243-3721",
            "fax_number": "317-240-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 BEACHWAY DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462248501",
            "telephone_number": "317-243-3721",
            "fax_number": "317-240-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAINO",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-243-3721",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "04-000032-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeview Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Skilled Nursing Facility in Indiana

• 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.