Lakewood Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LAKEWOOD OPERATIONS LLC

Doing business as

Lakewood Nursing and Rehabilitation Center

Practice address

100 N Lake St
Crescent City, FL 32112-2620

Phone

(386) 328-1472

NPI assigned

Nov 25, 2019

Organization subpart

Yes

Parent organization

MAXIMUS HEALTHCARE GROUPAs reported in NPPES

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

Authorized official

Name

Lynne Place

Title

VP of Finance

Phone

(828) 322-8171

Specialties & licenses 1

Addresses

Other names 1

• Lakewood Nursing and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1760028781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9268",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286039268",
            "telephone_number": "828-322-8171",
            "fax_number": "828-322-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N LAKE ST",
            "city": "CRESCENT CITY",
            "state": "FL",
            "postal_code": "321122620",
            "telephone_number": "386-328-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD OPERATIONS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAXIMUS HEALTHCARE GROUP",
        "enumeration_date": "2019-11-25",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "PLACE",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "828-322-8171"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakewood Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charlene Judge, LMT
• Lydia Kite
• Daniel S Kreisman, P.A.
• Lake Area Physical Therapy Crescent City, Inc
• Lakewood Nursing Center Inc
• Paul Lee, DMD
• Marcia Marie Long
• Diwata Enriquez Lopez, PT
• Roger Alan Lowe, DDS
• Louann Macclellan, OTR

• Skilled Nursing Facility in Crescent City, FL
• Providers in Crescent City, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.