LAKESHORE ESTATES, INC. (NPI# 1093720757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093720757 |
| Entity Type | Organization |
| Organization Name | LAKESHORE ESTATES, INC. |
| Other Organization Name | LAKESHORE HEARTLAND |
| Practice Address |
3025 Fernbrook Ln Nashville TN 37214-1623 |
| Practice Telephone | 6158852320 |
| Practice Fax Number | 6158853439 |
| Mailing Telephone | 6158852320 |
| Mailing Fax Number | 6158853439 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2009-10-06 |
| Authorized Official Name | MR. DAVID A SCIORTINO SR. (PRESIDENT) |
| Authorized Official Telephone | 6156464466 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | 396 | TN | Nursing & Custodial Care Facilities |
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 56 | TN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 7440581 | 05 |
| Other Name | Type Code |
|---|---|
| Lakeshore Heartland | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932114592 | Lakeshore Estates, Inc. | Assisted Living Facility | 8044 Coley Davis Rd, Nashville, TN 37221-2310 | 2006-07-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | LAKESHORE ESTATES, INC. | 92 Holland Lk, Holland, MA 01550 |
| Oregon Corporations, Companies and Business Names | LAKESHORE ESTATES, INC. | 34360 Colorado Lake Dr #1103, Corvallis, OR 97333 |
| Street Address |
3025 FERNBROOK LN |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37214-1623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639672686 | April D Kjosa | Occupational Therapy Assistant | 3025 Fernbrook Ln, Nashville, TN 37214-1623 | 2018-03-15 |
| 1760743793 | Candice Akins | Speech-Language Pathologist | 3025 Fernbrook Ln, Nashville, TN 37214-1623 | 2012-06-06 |
| 1750609616 | Anne Marie Smith | Occupational Therapist | 3025 Fernbrook Ln, Nashville, TN 37214-1623 | 2010-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679084123 | Paula Gardner-porter | Counselor | 1310 Peremiter Hill Dr, Nashville, TN 37214 | 2017-10-23 |
| 1811412612 | Laura Marie Stiles | Physician Assistant | 2630 Elm Hill Pk, Nashville, TN 37214 | 2017-08-14 |
| 1902348279 | Caresouth Hha Holdings of Winchester, LLC | Hospice Care, Community Based | 828 Royal Parkway, Suite 113, Nashville, TN 37214 | 2016-11-17 |
| 1861949547 | Roger P. Sherman, M.d., P.l.l.c. | Family Medicine | 211 Donelson Pike Ste 102, Nashville, TN 37214 | 2016-09-09 |
| 1023465143 | Sarah Carpenter | Speech-Language Pathologist | 3233 Lincoya Creek Drive, Nashville, TN 37214 | 2016-05-18 |
| 1306209861 | Shemicka Adams | Behavioral Analyst | 2996a Windemere Circle, Nashville, TN 37214 | 2016-04-01 |
| 1922483023 | Abigail Bargatze | Radiologic Technologist | 1708 Elm Run Way, Nashville, TN 37214 | 2015-07-30 |
| 1588045199 | Middle Tennessee Homes | Intermediate Care Facility, Mentally Retarded | 2410 Wilford Drive, Donelson, TN 37214 | 2015-06-10 |
| 1023499639 | Middle Tennessee Homes | Intermediate Care Facility, Mentally Retarded | 328 Dennywood Drive, Donelson, TN 37214 | 2015-06-10 |
| 1912387242 | Donelson Smiles Dentistry, PC | Dentist | 2340 Lebanon Pike, Nashville, TN 37214 | 2015-06-02 |
| Find all providers in zip 37214 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457575243 | Developmental Management, Inc. | Nursing Facility/Intermediate Care Facility | 618 W Goodner St, Nashville, IL 62263-1009 | 2007-04-12 |
| 1821021353 | Hqm of Nashville, LLC | Nursing Facility/Intermediate Care Facility | 2733 Mccampbell Ave, Nashville, TN 37214-2913 | 2006-07-08 |
| 1528023678 | Cumberland Health Care and Rehabilitation Inc | Nursing Facility/Intermediate Care Facility | 4343 Ashland City Hwy, Nashville, TN 37218 | 2006-04-20 |
| 1689073215 | Deparment of Veterans Affairs | Nursing Facility/Intermediate Care Facility | 1310 24th Ave S, Nashville, TN 37212-2637 | 2014-08-20 |
| 1417280249 | Jackson Park Christian Home, Inc. | Nursing Facility/Intermediate Care Facility | 4107 Gallatin Pike, Nashville, TN 37216-2109 | 2009-09-11 |
| 1972749182 | Mental Health Coop | Nursing Facility/Intermediate Care Facility | 275 Cumberland Bnd, Nashville, TN 37228-1805 | 2008-12-18 |
| 1164693412 | Autumn Corporation | Nursing Facility/Intermediate Care Facility | 1210 Eastern Ave, Nashville, NC 27856-1817 | 2008-03-14 |
| 1356462907 | Ssc Nashville Operating Company LLC | Nursing Facility/Intermediate Care Facility | 3939 Hillsboro Cir, Nashville, TN 37215-2708 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922493592 | Oaktree Health and Rehabilitation Center, LLC | Nursing Facility/Intermediate Care Facility | 6500 Kirby Gate Cv, Memphis, TN 38119-8203 | 2015-04-01 |
| 1265779086 | White House Health Care, Inc. | Nursing Facility/Intermediate Care Facility | 2871 Highway 31 W, White House, TN 37188-5226 | 2013-01-14 |
| 1912289208 | Sonja Teresa Dishman | Nursing Facility/Intermediate Care Facility | 521 Potter Rd, Jamestown, TN 38556-4120 | 2011-09-13 |
| 1427350123 | At Home Health Services, LLC | Nursing Facility/Intermediate Care Facility | 22 Monument Rd, Suite 100, Summertown, TN 38483-7644 | 2010-12-01 |
| 1811218324 | Christian Care Center of Rutherford County LLC | Nursing Facility/Intermediate Care Facility | 202 Enon Springs Road East, Smyrna, TN 37167 | 2010-06-18 |
| 1619296936 | Dr Casey Kim Pllc | Nursing Facility/Intermediate Care Facility | 7902 Eagle Mere Rd, Chattanooga, TN 37421-7315 | 2010-05-26 |
| 1053556274 | Johnson City Health Property Investors, LLC | Nursing Facility/Intermediate Care Facility | 400 N Boone St, Johnson City, TN 37604-5635 | 2008-12-03 |
| 1598912537 | Agape Health and Rehabilitation Center, LLC | Nursing Facility/Intermediate Care Facility | 2020 Northpark, Suite 2f, Johnson City, TN 37604-3127 | 2008-08-21 |
| 1063614113 | Trina Wright | Nursing Facility/Intermediate Care Facility | 265 Margaret Cir, Mc Minnville, TN 37110-6815 | 2007-06-01 |
| 1841311404 | Ssc Newport Operating Company LLC | Nursing Facility/Intermediate Care Facility | 135 Generation Dr, Newport, TN 37821-8018 | 2007-04-02 |
| Find all providers with the same taxonomy | ||||
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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.