Organization Active NPI

Value Real Estate Solutions LLC

  • Ambulatory Surgical Clinic/Center
  • East Chicago, IN
National Provider Identifier
1780886796
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
17-003259-1 Issued in IN
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

Updated by the provider on Jul 18, 2018

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)CodeLicenseStatePrimary
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 Doing business as

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
15D1008125Lakeside Surgery Center LLC810 W Chicago Ave, East Chicago, IN 46312Certificate of waiverJan 9, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.