Active NPI
Lakeview Healthcare, Inc
Doing business as Queen City Nursing Center
- Skilled Nursing Facility
- Meridian, MS
National Provider Identifier
1932139441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 11731
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00230008 | Medicaid | MS |
Other names 1
- Queen City Nursing Center
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Internal Medicine Physician
- Meridian, MS
- NPI 1780881128
-
- Critical Care Medicine (Internal Medicine) Physician
- Meridian, MS
- NPI 1023320280
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.