JSC Lake Highlands Operations, LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

131077 Issued in TX

Legal business name

JSC LAKE HIGHLANDS OPERATIONS, LP

Doing business as

Villages of Lake Highlands

Practice address

8615 Lullwater Dr
Dallas, TX 75238-4754

Phone

(214) 221-0444

NPI assigned

Oct 14, 2009

Last updated

Aug 4, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paula Pierce

Title

Authorized Officer

Phone

(972) 899-4401

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Villages of Lake Highlands Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770818478. Details of each certification follow.

• CCN 676268 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 676268

Legal name

JSC LAKE HIGHLANDS OPERATIONS, LP

Doing business as

VILLAGES OF LAKE HIGHLANDS

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Nov 19, 2010

Last certification

Apr 18, 2024

Beds

126

Ownership / control type

Corporation

Organization structure

OtherProprietary

Enrollment address

8615 Lullwater Dr
Dallas, TX 75238-4754

Nursing home name

VILLAGES OF LAKE HIGHLANDS

Listed as

Villages of Lake HighlandsCCN 676268 · All quality measures

Overall star rating

2 of 5

Health inspections

1 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Nov 19, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

126111.1 residents per day on average

Penalties (3 years)

3Fines totaling $29,022

Processed by Care Compare on Aug 1, 2026.

Tax ID family

JSC Lake Highlands Operations LP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• JCS Lake Highlands Operations LP

  dba Villages of Lake Highlands Assisted Living

  • Assisted Living Facility
  • Dallas, TX
  • NPI 1265769582
  NPD tax ID

All disclosed owners & managing parties 9

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

Facilities with the same owner 2

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

• LCS-PHC LLC

  dba Parkwood Healthcare Community

  • Skilled Nursing Facility
  • Bedford, TX
  • NPI 1750794574

  Javelin Group Funding I, LP, Village Senior Care LLC

  CMS ownership
• LCS-SP LLC

  dba Signature Pointe

  • Skilled Nursing Facility
  • Dallas, TX
  • NPI 1306259122

  Javelin Group Funding I, LP, Village Senior Care LLC

  CMS ownership

Practitioners 3

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.

• Robert Lowell Johnson, M.D., MBA, FACP

  • Internal Medicine Physician
  • Plano, TX
  • NPI 1184686073
  NPD (past)
• Ankit D Punatar, MD

  • Internal Medicine Physician
  • Allen, TX
  • NPI 1831350461
  NPD (past)
• Phuong Trinh, MD

  • Internal Medicine Physician
  • Plano, TX
  • NPI 1720585979
  NPD (past)

Affiliated clinicians 6

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

• Robert Lowell Johnson, M.D., MBA, FACP

  • Internal Medicine Physician
  • Plano, TX
  • NPI 1184686073

  Nursing home

  Care Compare affiliation
• Minyoung Kang, MD

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1639639891

  Nursing home

  Care Compare affiliation
• Karishma Khan, M.D.

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1780845891

  Nursing home

  Care Compare affiliation
• Ankit D Punatar, MD

  • Internal Medicine Physician
  • Allen, TX
  • NPI 1831350461

  Nursing home

  Care Compare affiliation
• Farouk Talakshi, M.D.

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1316233000

  Nursing home

  Care Compare affiliation
• Phuong Trinh, MD

  • Internal Medicine Physician
  • Plano, TX
  • NPI 1720585979

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596499200000",
    "number": "1770818478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8615 LULLWATER DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752384754",
            "telephone_number": "214-221-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8615 LULLWATER DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752384754",
            "telephone_number": "214-221-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSC LAKE HIGHLANDS OPERATIONS, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICER",
        "authorized_official_telephone_number": "972-899-4401"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "131077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001018708",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Villages of Lake Highlands",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Villages of Lake Highlands",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Dallas, TX
• Providers in Dallas, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.

Verify at the official NPI Registry.