NPIMap

Organization Active NPI

Lake Region Corporation

  • Alzheimer Center (Dementia Center)
  • Leeds, ND
National Provider Identifier
1932821402
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
Legal business name
LAKE REGION CORPORATION
Practice address
340 2ND Ave SW
Leeds, ND 58346
Phone
(701) 662-8681
NPI assigned
Sep 13, 2022
Last updated
Sep 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Authorized official

Name
Sandra Svedberg
Title
Cfo
Phone
(701) 662-8681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X Primary

Addresses

Primary practice location

340 2ND Ave SW
Leeds, ND 58346

Mailing address

224 3Rd St NW
Devils Lake, ND 58301-2908
Phone (701) 662-8681

National Provider Directory

National Provider Directory
Tax ID family
Lake Region Corporation6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1932821402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 3RD ST NW",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583012908",
            "telephone_number": "701-662-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 2ND AVE SW",
            "city": "LEEDS",
            "state": "ND",
            "postal_code": "58346",
            "telephone_number": "701-662-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE REGION CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "SVEDBERG",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "701-662-8681"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leeds, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.