Organization Active NPI

Sandstone Senior Living, Inc.

Doing business as Lakeshore Assisted Living and Memory Care

  • Assisted Living Facility
  • Rockwall, TX
National Provider Identifier
1932797487
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SANDSTONE SENIOR LIVING, INC.
Doing business as
Lakeshore Assisted Living and Memory Care
Practice address
5250 Medical Dr
Rockwall, TX 75032-5001
Phone
(469) 338-0204
NPI assigned
Jan 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Authorized official

Name
Lee Johnson
Title
Treasurer
Phone
(208) 401-1369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

5250 Medical Dr
Rockwall, TX 75032-5001

Mailing address

5250 Medical Dr
Rockwall, TX 75032-5001

Other names 1

  • Lakeshore Assisted Living and Memory Care Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2199753Sandstone Senior Living, Inc Dba Lakeshore5250 Medical Dr, Rockwall, TX 75032Certificate of waiverNov 9, 2026

National Provider Directory

National Provider Directory

Locations

5250 Medical Dr
Rockwall, TX 75032
Phone (469) 338-0204

NPI Registry JSON

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610064000000",
    "number": "1932797487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 MEDICAL DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750325001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 MEDICAL DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750325001",
            "telephone_number": "469-338-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDSTONE SENIOR LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "208-401-1369"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeshore Assisted Living and Memory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.