Organization Active NPI

Lakeview Healthcare, Inc

Doing business as Queen City Nursing Center

  • Skilled Nursing Facility
  • Meridian, MS
National Provider Identifier
1932139441
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
11731 Issued in MS
Legal business name
LAKEVIEW HEALTHCARE, INC
Doing business as
Queen City Nursing Center
Practice address
1201 28TH Ave
Meridian, MS 39301-3810
Phone
(601) 483-1467
Fax
(601) 483-1483
NPI assigned
Jul 3, 2006
Last updated
Jul 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Authorized official

Name
Mr. Brian K Cain
Title
President
Phone
(228) 831-3001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 11731 MS Primary

Addresses

Primary practice location

1201 28TH Ave
Meridian, MS 39301-3810

Mailing address

16411 Robinson Rd
Gulfport, MS 39503-4879
Phone (228) 831-3001

Other identifiers 1

IdentifierTypeStateIssuer
00230008MedicaidMS

Other names 1

  • Queen City Nursing Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1932139441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16411 ROBINSON RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034879",
            "telephone_number": "228-831-3001",
            "fax_number": "228-831-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 28TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013810",
            "telephone_number": "601-483-1467",
            "fax_number": "601-483-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "CAIN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "228-831-3001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MS",
            "license": "11731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00230008",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Queen City Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meridian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.