Organization Active NPI

Lakeview Corporation

Doing business as Lakeview Nursing Center

  • Skilled Nursing Facility
  • Gulfport, MS
National Provider Identifier
1720081052
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
735 Issued in MS
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00230088MedicaidMS

Other names 1

  • Lakeview Nursing Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 CenterCCN 255182 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 26, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10576.1 residents per day on average
Penalties (3 years)
2Fines totaling $12,183

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D0888265Lakeview Nursing Center16411 Robinson Road, Gulfport, MS 39503Certificate of waiverJun 28, 2028

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Brian K Cain Individual 5% Or Greater Direct Ownership Interest Apr 28, 2008
Corporate OfficerPresident Jan 1, 1998 100%
Corporate Director Jan 1, 1998
Lakeview Corporation Organization, Gulfport, MS Created for acquisition, Corporation 5% Or Greater Direct Ownership Interest Jan 1, 1998 100%
Anne Gaston Individual Other Jun 1, 2017
Diane Carpenter Individual W-2 Managing EmployeeAdministrator 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.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

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

Verify at the official NPI Registry.