Lake Village Healthcare Center, Llc

LBN: Lake Village Healthcare Center, Llc
Lake Village Healthcare Center, Llc is an health care organization with primary practice located at 903 Borgognon Dr , Lake Village AR 71653. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Lake Village Healthcare Center, Llc can be contacted via phone (870) 265-5337, or through Butterworth, Jeanne via phone (410) 527-4083.

Contact Information

Primary practice address
903 Borgognon Dr Lake Village AR 71653
Phone: (870) 265-5337
Fax: (870) 265-3275
Website:
Map and Directions
Authorized official contact:
Name: Butterworth, Jeanne
Phone: (410) 527-4083

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1437169513
LBN Legal business name Lake Village Healthcare Center, Llc
DBA Doing business as
Authorized official Butterworth, Jeanne
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437169513 NPPES
Arkansas MEDICAID 15403311

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