Lakebridge Health Care Center

LBN: Lakebridge Medical Investors, Llc
Lakebridge Health Care Center is an health care organization with primary practice located at 115 Woodlawn Dr , Johnson City TN 37604-5978. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Lakebridge Medical Investors, Llc can be contacted via phone (423) 975-0095, or through Lewis, Jimmy (J.R.) R via phone (423) 975-5455.

Contact Information

Primary practice address
115 Woodlawn Dr Johnson City TN 37604-5978
Phone: (423) 975-0095
Fax: (423) 928-0358
Website:
Map and Directions
Authorized official contact:
Name: Lewis, Jimmy (J.R.) R
Phone: (423) 975-5455

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 0000000340 Tennessee
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1407933443
LBN Legal business name Lakebridge Medical Investors, Llc
DBA Doing business as Lakebridge Health Care Center
Authorized official Lewis, Jimmy (J.R.) R
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Jun 12th, 2008 - about 16 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 1407933443 NPPES
Tennessee MEDICAID 0445358
Tennessee MEDICAID 7440576

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