Organization Active NPI

LFV Ops Denton LLC

Doing business as Lake Forest Village by PureHealth

  • Skilled Nursing Facility
  • Denton, TX
National Provider Identifier
1720805336
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LFV OPS DENTON LLC
Doing business as
Lake Forest Village by PureHealth
Practice address
3901 Montecito Dr
Denton, TX 76210-5557
Phone
(940) 891-0856
NPI assigned
Sep 24, 2024
Last updated
Sep 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Authorized official

Name
Mr. Robert C Campion
Title
Managing Member
Phone
(561) 801-4235

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

3901 Montecito Dr
Denton, TX 76210-5557

Mailing address

2000 Pga Blvd Ste 3230
Palm Beach Gardens, FL 33408-2718
Phone (561) 801-4235

Other names 1

  • Lake Forest Village by PureHealth Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241230001734 TX Part A Provider - Skilled Nursing Facility 8921535196 Practice locations: Denton, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720805336. Details of each certification follow.

Skilled nursing facility certification: CCN 455685

Legal name
LFV OPS DENTON LLC
Doing business as
LAKE FOREST VILLAGE BY PUREHEALTH
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Feb 19, 1987
Last certification
Aug 8, 2024
Beds
60
Ownership / control type
Limited Liability Corporation
Multi-facility organization
PureHealth
Organization structure
LLCProprietary
Enrollment address
3901 Montecito Dr
Denton, TX 76210-5557
Nursing home name
LAKE FOREST VILLAGE BY PUREHEALTH
Affiliated entity
PUREHEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lake Forest Village by PureHealthCCN 455685 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 19, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6036.8 residents per day on average
Chain
Purehealth8 facilities in the chain

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
45D0715755Lake Forest Village by Purehealth3901 Montecito Drive, Denton, TX 76210Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Neelima Narreddy Individual Adp of the SNF Nov 1, 2024
Freddie Martinez Individual Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
Overhead Ops Investments III LLC Organization, North Palm Beach, FL LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 1, 2024 100%
Kevin Bell Individual 5% Or Greater Indirect Ownership InterestCoo Nov 1, 2024 50%
Legends III LLC Organization, Albuquerque, NM LLC, Medical provider/supplier Adp of the SNF Nov 1, 2024
Kccj1 Holdings LLC Organization, North Palm Beach, FL LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 1, 2024 50%
PPSG Consulting Services LLC Organization, Bernalillo, NM LLC, Consulting firm Adp of the SNF Nov 1, 2024
Lbei Holdings LLC Organization, North Palm Beach, FL LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 1, 2024 50%
Theta Leidholm Individual Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
Management McOa LLC Organization, North Palm Beach, FL LLC Adp of the SNF Nov 1, 2024
Robert Campion Individual 5% Or Greater Indirect Ownership InterestCeo Nov 1, 2024 50%
LFV Ops Denton LLC Organization, Denton, TX Created for acquisition, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Nov 1, 2024 100%
Operational/Managerial Control Nov 1, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

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": "1727136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1720805336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PGA BLVD STE 3230",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334082718",
            "telephone_number": "561-801-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 MONTECITO DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762105557",
            "telephone_number": "940-891-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LFV OPS DENTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "CAMPION",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "561-801-4235",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Forest Village by PureHealth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.