Lake Crossing Health Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LAKE CROSSING HEALTH CENTER, LLC

Doing business as

Lake Crossing Health Center

Practice address

6698 Washington Rd
Appling, GA 30802-4120

Phone

(706) 541-0462

Fax

(706) 541-0310

NPI assigned

Jul 31, 2020

Last updated

Jul 31, 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

Amy Roberts Stewart

Title

Owner

Phone

(706) 541-0462

Specialties & licenses 1

Addresses

Other names 1

• Lake Crossing Health Center Doing business as

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596153600000",
    "number": "1891305223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6698 WASHINGTON RD",
            "city": "APPLING",
            "state": "GA",
            "postal_code": "308024120",
            "telephone_number": "706-541-0462",
            "fax_number": "706-541-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6698 WASHINGTON RD",
            "city": "APPLING",
            "state": "GA",
            "postal_code": "308024120",
            "telephone_number": "706-541-0462",
            "fax_number": "706-541-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CROSSING HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "ROBERTS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-541-0462"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Crossing Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diversity Health Care Service
• Leeann Ellis, LPN
• Douglas Truman Garrett Jr., NP
• Mary Keys Gooding, LPN
• Lake Crossing Health Center Pac LLC
• Donna Lawson Lamb
• Gail L. Leith, R.N.
• Victioria D. Manning, RN
• Angelia Martin, LPC
• Angela Adelle McLaughlin, NP-C

• Skilled Nursing Facility in Appling, GA
• Providers in Appling, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.