WEST LAKE HEALTHCARE RESIDENCE OPERATOR LLC (NPI# 1063888535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063888535 |
| Entity Type | Organization |
| Organization Name | WEST LAKE HEALTHCARE RESIDENCE OPERATOR LLC |
| Practice Address |
825 W. Kearney Mesquite TX 75149-3206 |
| Mailing Address |
111 Clifton Ave Lakewood NJ 08701-3342 |
| Practice Telephone | 9722887688 |
| Mailing Telephone | 2143963462 |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2018-03-30 |
| Authorized Official Name | JOSEF NEUMAN (MANAGER) |
| Authorized Official Telephone | 2143963462 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | DADS | 005142 | 01 |
| TX | 001027232 | 05 |
| Street Address |
825 W. KEARNEY |
| City | MESQUITE |
| State | TX |
| Zip Code | 75149-3206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891340642 | Michael Ryan Tong | Pharmacist | 300 West Kearney, Mesquite, TX 75149 | 2019-08-08 |
| 1720548118 | Life Specialty Pharmacy, Inc. | Pharmacy | 949 W. Kearney St., Suite 107, Mesquite, TX 75149 | 2019-03-21 |
| 1851857304 | Foursquare Texas 16 LLC | Skilled Nursing Facility | 750 Highway 352, Mesquite, TX 75149 | 2019-02-20 |
| 1629561477 | Christina Yvette Smith | Nurse Practitioner | 1336 N Galloway Ave Ste 124, Mesquite, TX 75149 | 2018-06-07 |
| 1356844484 | D&b Dentistry, Pllc | Clinic/Center | 5550 South Buckner Blvd., Ste 270, Mesquite, TX 75149 | 2018-03-15 |
| 1811426216 | Higher Ground Services LLC | In Home Supportive Care | 624 Yosemite Trail, Mesquite, TX 75149 | 2017-06-08 |
| 1275067977 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 1951 Military Parkway, Mesquite, TX 75149 | 2017-04-19 |
| 1922530591 | Johnny Staton | Physician Assistant | 1208 Paintbrush St, Mesquite, TX 75149 | 2017-04-01 |
| 1811432115 | Fastpass Ucm, Pllc | Emergency Medicine | 1080 E Cartwright Rd, Suite 120, Mesquite, TX 75149 | 2016-12-22 |
| 1508309170 | Code 3 Emergency Partners At Mesquite, LLC | Clinic/Center | 1080 E Cartwright Rd Ste 100, Mesquite, TX 75149 | 2016-11-29 |
| Find all providers in zip 75149 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851857304 | Foursquare Texas 16 LLC | Skilled Nursing Facility | 750 Highway 352, Mesquite, TX 75149 | 2019-02-20 |
| 1386192912 | Palomino Continuing Care Center Ltd. Co. | Skilled Nursing Facility | 3160 Gus Thomasson Road, Mesquite, TX 75150-4048 | 2016-09-12 |
| 1477975977 | Edgewood Snf Operations LLC | Skilled Nursing Facility | 1101 Windbell St, Mesquite, TX 75149-2177 | 2014-01-17 |
| 1619238425 | Mason Mesquite Op, LLC | Skilled Nursing Facility | 1101 Windbell Drive, Mesquite, TX 75149 | 2012-06-07 |
| 1477695641 | Eastland Memorial Hospital District | Skilled Nursing Facility | 2231 Us Highway 80 E, Mesquite, TX 75150-5510 | 2007-02-13 |
| 1952498131 | Thi of Texas At Mesquite, LLC | Skilled Nursing Facility | 825 W Kearney St, Mesquite, TX 75149-3206 | 2006-10-07 |
| 1407879315 | Dallas County Hospital District | Skilled Nursing Facility | 3617 O'hare Drive, Mesquite, TX 75150 | 2006-07-25 |
| 1548251770 | Christian Care Centers, Inc. | Skilled Nursing Facility | 1000 Wiggins Pkwy, Mesquite, TX 75150-7465 | 2005-11-05 |
| 1386642460 | Desert Health Care Facilities, Inc. | Skilled Nursing Facility | 272 Pioneer Blvd, Mesquite, NV 89027 | 2005-07-12 |
| 1447881974 | Dallas County Hospital District | Skilled Nursing Facility | 3160 Gus Thomasson Rd, Mesquite, TX 75150-4048 | 2020-02-03 |
| Find all providers in MESQUITE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.