Lakeside Senior Care LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LAKESIDE SENIOR CARE LLC

Doing business as

Lakeside Rehabilitation and Care Center

Practice address

4306 24TH St
Lubbock, TX 79410-1818

Phone

(806) 793-2555

NPI assigned

Apr 30, 2009

Organization subpart

No

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

Authorized official

Name

Keri Powell

Title

President

Phone

(806) 793-2555

Specialties & licenses 1

Addresses

Other names 1

• Lakeside Rehabilitation and Care Center Doing business as

Tax ID family

Lakeside Rehabilitation and Care Center2 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.

• Senior Health-Lakeside, LLC

  • Skilled Nursing Facility
  • Lubbock, TX
  • NPI 1437156171
  NPD tax ID

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241049600000",
    "number": "1902040223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 RIDGEBROOK RD",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4306 24TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101818",
            "telephone_number": "806-793-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-30",
        "last_updated": "2009-04-30",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "KERI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-793-2555"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Rehabilitation and Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Lain, B.S., SLPA
• Margaret Smith Lair, LCSW
• Tanya Michele Lair, NP
• Lakeridge Family Dentistry & Orthodontics (Lakeridge Dental)
• Lakeridge Laboratory Inc (lakeridge laboratory)
• Lalavie LLC (Axiom Health and Wellness)
• Judy Lalmuanpuii, MD
• Wailong Don Lam, PNP
• David Winton Lamberts, M.D.
• Marcel Lamothe, MD

• Skilled Nursing Facility in Lubbock, TX
• Providers in Lubbock, 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 Apr 30, 2009; 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.