Lakeside Nursing Center

LBN: Lakeside Nursing And Rehabilitation Center, Inc.
Lakeside Nursing Center is an health care organization with primary practice located at 1207 Willow Run Road , Lake City AR 72437-0578. 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. Lakeside Nursing And Rehabilitation Center, Inc. can be contacted via phone (870) 237-8151, or through Adams, A Brandon via phone (501) 932-0050.

Contact Information

Primary practice address
1207 Willow Run Road Lake City AR 72437-0578
Fax: (870) 237-4011
Website:
Authorized official contact:
Name: Adams, A Brandon

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 670 Arkansas

Profile Details

NPI number 1518953892
LBN Legal business name Lakeside Nursing And Rehabilitation Center, Inc.
DBA Doing business as Lakeside Nursing Center
Authorized official Adams, A Brandon
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2005
Last updated Nov 12th, 2014 - about 11 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 1518953892 NPPES
Arkansas MEDICAID 119578311

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