Lakewood

LBN: Lakewood
Lakewood is an health care organization with primary practice located at 302 Greenwood Pl , Belmont NC 28012-2911. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Nursing & Custodial Care Facilities / Adult Care Home, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Agencies / Community/Behavioral Health is the primary health care specialty. Lakewood can be contacted via phone (704) 829-4410, or through Childress, Shannon via phone (704) 829-4410.

Contact Information

Primary practice address
302 Greenwood Pl Belmont NC 28012-2911
Phone: (704) 829-4410
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Childress, Shannon
Phone: (704) 829-4410

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X MHL-036-058 North Carolina

Profile Details

NPI number 1801129127
LBN Legal business name Lakewood
DBA Doing business as
Authorized official Childress, Shannon
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 18th, 2009
Last updated Aug 30th, 2017 - about 7 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 1801129127 NPPES
North Carolina Other 1619310851 STATE FUNDS
North Carolina MEDICAID 7802691 STATE FUNDS
North Carolina MEDICAID 3408854 STATE FUNDS

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