Organization Active NPI

Lake Health District

Doing business as Lakeview Home Health Care

  • Home Health Agency
  • Lakeview, OR
National Provider Identifier
1992850143
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
13140896 Issued in OR
Legal business name
LAKE HEALTH DISTRICT
Doing business as
Lakeview Home Health Care
Practice address
700 S J St
Lakeview, OR 97630-1623
Phone
(541) 947-2114
Fax
(541) 947-2433
NPI assigned
Jan 25, 2007
Last updated
Apr 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Authorized official

Name
Mr. Gordon Ensley
Title
Ceo
Phone
(541) 947-2114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 13140896 OR Primary

Addresses

Primary practice location

700 S J St
Lakeview, OR 97630-1623

Mailing address

700 S J St
Lakeview, OR 97630-1623
Phone (541) 947-2114

Other names 1

  • Lakeview Home Health Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lake District Hosptial8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

593 NE Azure Dr
Ste 4
Bend, OR 97701
Phone (541) 306-3483

624 S J St
Lakeview, OR 97630
Phone (541) 947-3366

Practitioners & affiliated clinicians

Practitioners 12

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": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1992850143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S J ST",
            "city": "LAKEVIEW",
            "state": "OR",
            "postal_code": "976301623",
            "telephone_number": "541-947-2114",
            "fax_number": "541-947-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S J ST",
            "city": "LAKEVIEW",
            "state": "OR",
            "postal_code": "976301623",
            "telephone_number": "541-947-2114",
            "fax_number": "541-947-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE HEALTH DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "ENSLEY",
        "authorized_official_first_name": "GORDON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-947-2114",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OR",
            "license": "13140896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeview Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeview, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.