Active NPI
Value Real Estate Solutions LLC
- Ambulatory Surgical Clinic/Center
- East Chicago, IN
National Provider Identifier
1780886796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 17-003259-1
- Legal business name
- VALUE REAL ESTATE SOLUTIONS LLC
- Doing business as
- Lakeside Surgery Center
- Practice address
- 810 W Chicago Ave
East Chicago, IN 46312-3307 - Phone
- (219) 392-0500
- Fax
- (219) 392-0503
- NPI assigned
- Jun 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Natallia Kasmouskaya, OWNER
- Title
- Owner /Manager
- Phone
- (708) 717-6837
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | |||
| Ambulatory Surgical Clinic/Center | 261QA1903X | 17-003259-1 | IN | Primary |
Addresses
Primary practice location
810 W Chicago Ave
East Chicago, IN 46312-3307
Mailing address
810 W Chicago Ave
East Chicago, IN 46312-3307
Phone (219) 392-0500
Other names 1
- Lakeside Surgery Center
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D1008125 | Lakeside Surgery Center LLC | Certificate of waiver | Jan 9, 2027 |
National Provider Directory
National Provider DirectoryLocations
810 W Chicago Ave
East Chicago, IN 46312
Phone (219) 392-0500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531872000000",
"number": "1780886796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 W CHICAGO AVE",
"city": "EAST CHICAGO",
"state": "IN",
"postal_code": "463123307",
"telephone_number": "219-392-0500",
"fax_number": "219-392-0503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 W CHICAGO AVE",
"city": "EAST CHICAGO",
"state": "IN",
"postal_code": "463123307",
"telephone_number": "219-392-0500",
"fax_number": "219-392-0503"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALUE REAL ESTATE SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-01",
"last_updated": "2018-07-18",
"status": "A",
"authorized_official_last_name": "KASMOUSKAYA",
"authorized_official_first_name": "NATALLIA",
"authorized_official_title_or_position": "OWNER /MANAGER",
"authorized_official_telephone_number": "708-717-6837",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "OWNER"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "IN",
"license": "17-003259-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lakeside Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in East Chicago, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.