Active NPI
Lakeview Corporation
Doing business as Lakeview Nursing Center
- Skilled Nursing Facility
- Gulfport, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 735
- Legal business name
- LAKEVIEW CORPORATION
- Doing business as
- Lakeview Nursing Center
- Practice address
- 16411 Robinson Rd
Gulfport, MS 39503-4879 - Phone
- (228) 831-3001
- Fax
- (228) 831-0408
- NPI assigned
- May 31, 2005
- Last updated
- Apr 28, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Diane Carpenter, LNHA
- Title
- Administrator
- Phone
- (228) 831-3001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 735 | MS | Primary |
Addresses
Primary practice location
16411 Robinson Rd
Gulfport, MS 39503-4879
Mailing address
16411 Robinson Rd
Gulfport, MS 39503-4879
Phone (228) 831-3001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00230088 | Medicaid | MS |
Other names 1
- Lakeview Nursing Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080501000645 | MS | Part A Provider - Skilled Nursing Facility | 5395824304 | Practice locations: Gulfport, MS |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1720081052. Details of each certification follow.
Skilled nursing facility certification: CCN 255182
- Legal name
- LAKEVIEW CORPORATION
- Doing business as
- LAKEVIEW NURSING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 26, 1994
- Last certification
- Apr 2, 2025
- Beds
- 105
- Ownership / control type
- Corporation
- Organization structure
- Corporation
- Incorporated
- Jan 1, 1998 in MS
- Enrollment address
- 16411 Robinson Rd
Gulfport, MS 39503-4879 - Nursing home name
- LAKEVIEW NURSING CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Lakeview Nursing Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jul 26, 1994
- Medicare certification status
- Active
- Certified beds
- 105
- Penalties (3 years)
- 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 25D0888265 | Lakeview Nursing Center | Certificate of waiver | Jun 28, 2028 |
National Provider Directory
National Provider DirectoryLocations
16411 Robinson Rd
Gulfport, MS 39503
Phone (228) 831-3001
Ownership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Brian K Cain | 5% Or Greater Direct Ownership Interest | Apr 28, 2008 | |
| Corporate Officer | Jan 1, 1998 | 100% | |
| Corporate Director | Jan 1, 1998 | ||
| Lakeview Corporation | 5% Or Greater Direct Ownership Interest | Jan 1, 1998 | 100% |
| Anne Gaston | Other | Jun 1, 2017 | |
| Diane Carpenter | W-2 Managing Employee | Feb 29, 2008 | 100% |
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Medicine & Rehabilitation Physician
- Gulfport, MS
- NPI 1881709053
-
- Internal Medicine Physician
- Gulfport, MS
- NPI 1356424576
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Physical Medicine & Rehabilitation Physician
- Gulfport, MS
- NPI 1881709053
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209340800000",
"number": "1720081052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16411 ROBINSON RD",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395034879",
"telephone_number": "228-831-3001",
"fax_number": "228-831-0408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16411 ROBINSON RD",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395034879",
"telephone_number": "228-831-3001",
"fax_number": "228-831-0408"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKEVIEW CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2005-05-31",
"last_updated": "2008-04-28",
"status": "A",
"authorized_official_last_name": "CARPENTER",
"authorized_official_first_name": "DIANE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "228-831-3001",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LNHA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MS",
"license": "735",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00230088",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lakeview Nursing Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.