Organization Active NPI

Lake View Terrace Management LLC

  • Assisted Living Facility (Behavioral Disturbances)
  • Lake Havasu City, AZ
National Provider Identifier
1770422149
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
Legal business name
LAKE VIEW TERRACE MANAGEMENT LLC
Practice address
320 Lake Havasu Ave N
Lake Havasu City, AZ 86403-4701
Phone
(928) 855-8099
Fax
(928) 855-6666
NPI assigned
Mar 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Authorized official

Name
Tara Killinger-Welle
Title
Ceo
Phone
(971) 533-0851

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X Primary

Addresses

Primary practice location

320 Lake Havasu Ave N
Lake Havasu City, AZ 86403-4701

Mailing address

13455 Knaus Rd
Lake Oswego, OR 97034-2161
Phone (928) 855-8099

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1774569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774569600000",
    "number": "1770422149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13455 KNAUS RD",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970342161",
            "telephone_number": "928-855-8099",
            "fax_number": "928-855-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 LAKE HAVASU AVE N",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864034701",
            "telephone_number": "928-855-8099",
            "fax_number": "928-855-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE VIEW TERRACE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-27",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A",
        "authorized_official_last_name": "KILLINGER-WELLE",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "971-533-0851"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Havasu City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; 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.