Lakewood Healthcare, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

024 Issued in AR

Legal business name

LAKEWOOD HEALTHCARE, INC.

Practice address

260 Lakepark Drive
Hot Springs, AR 71901

Phone

(501) 262-1920

Fax

(501) 262-5237

NPI assigned

Jul 13, 2006

Last updated

Nov 3, 2015By 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

Deborah A Tyler, LPN, LNHA

Title

Administrator

Phone

(501) 262-1920

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Lakewood Convalescent Home, Inc. Former legal business name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1801811609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 LAKEPARK DRIVE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "71901",
            "telephone_number": "501-262-1920",
            "fax_number": "501-262-5237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 LAKEPARK DRIVE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "71901",
            "telephone_number": "501-262-1920",
            "fax_number": "501-262-5237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "501-262-1920",
        "authorized_official_credential": "LPN, LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109481311",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-PAK",
            "identifier": "15404",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakewood Convalescent Home, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Christine Lai, MD
• Lake Hamilton Family Chiropractic PLLC (Lake Hamilton Family and Sports Chiropractic)
• Lakeside Pharmacy Inc.
• Lakeside School District
• Lakeside Walk-in Clinic PLLC
• Lakewood Therapy and Living Center Opco LLC (Lakewood Therapy And Living Center)
• Virginia Arlette Laliberte, APRN
• Thelma Lamb, MHPP
• Tiara Mary Lamb, MHPP
• Donald L Lambert, RD

• Skilled Nursing Facility in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Skilled Nursing Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; 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.