SUMMIT VIEW OF LAKE CITY, LLC


Address: 204 Industrial Park Ln, Lake City, TN 37769-2301
Phone: 8654262147

SUMMIT VIEW OF LAKE CITY, LLC (NPI# 1164431003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164431003
Entity Type Organization
Organization Name SUMMIT VIEW OF LAKE CITY, LLC
Other Organization Name LAKE CITY HEALTH CARE CENTER
Practice Address 204 Industrial Park Ln
Lake City
TN 37769-2301
Practice Telephone 8654262147
Practice Fax Number 8654267144
Mailing Telephone 8654262147
Mailing Fax Number 8654267144
Enumeration Date 2006-08-07
Last Update Date 2008-01-17
Authorized Official Name MR. RONALD E LAWRENCE (OWNER, PRESIDENT)
Authorized Official Telephone 8656756444
Authorized Official Credential NHA, MBA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TN 0445259 05
TN 7440360 05
TN BC/BS 114355 01

Other Provider/Organization Names

Other Name Type Code
Lake City Health Care Center Former Legal Business Name - Organization

Office Location

Street Address 204 INDUSTRIAL PARK LN
City LAKE CITY
State TN
Zip Code 37769-2301

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609090265 Sheila Marie Sparks Occupational Therapist 204 Industrial Park Road, Lake City, TN 37769 2007-04-12
1285793653 Marks Pharmacy Pharmacy 106 Creek St, Lake City, TN 37769 2006-12-08
1154417996 David Carl Dew Pharmacist 414 S. Main Street, Lake City, TN 37769 2006-10-05
1144775206 April Freeman Registered Nurse 110 Industrial Park Ln, Rocky Top, TN 37769 2016-08-18
1235322181 Mark Thomas Smith Physician Assistant 106 Creek St, Lake City, TN 37769 2007-08-23
1467645986 Marks Pharmacy Durable Medical Equipment & Medical Supplies 106 Creek St, Lake City, TN 37769 2007-08-20
1316958986 Corner Drug Co Inc Pharmacy 414 Main St, Lake City, TN 37769 2006-08-10
1487635348 Ronald E. Noe Dentist 305 S Main St, Lake City, TN 37769-2206 2005-11-08
1811523582 Melanie Ann Ward Dental Hygienist 305 S Main St, Rocky Top, TN 37769-2206 2020-03-13
1104100064 Leslie Denise Holmes-leach Dentist 305 S Main St, Rocky Top, TN 37769-2206 2011-10-10
Find all providers in zip 37769

Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083170534 Sf Brevard, LLC Skilled Nursing Facility 298 Sw Prosperity Place, Lake City, FL 32024 2019-02-20
1447733480 Chc Lakeside Nursing Center, LLC Skilled Nursing Facility 1207 Willow Run St, Lake City, AR 72437-9520 2018-09-14
1871611889 Lake City Adult Day Care, Inc. Skilled Nursing Facility 122 S Acline St, Lake City, SC 29560-2633 2007-03-27
1134278203 Osprey of North Florida, Inc. Skilled Nursing Facility 587 Se Ermine Ave, Lake City, FL 32025-6126 2007-01-09
1053420729 Lake City Nursing and Rehabilitation Center, LLC Skilled Nursing Facility 2055 Rex Rd, Lake City, GA 30260-3944 2006-08-29
1962510859 Manor of Lake City, Inc Skilled Nursing Facility 1409 W Main St, Lake City, IA 51449-1578 2006-08-29
1487663258 The Health Center of Lake City, Inc. Skilled Nursing Facility 560 Sw Mcfarlane Ave, Lake City, FL 32025-5614 2006-08-07
1598733487 Rural Business, Inc Skilled Nursing Facility 56 Genesis Dr, Lake City, SC 29560-5531 2006-03-08
1750365706 Lake City Mgt LLC Skilled Nursing Facility 1270 Sw Main Blvd, Lake City, FL 32025-6684 2005-12-02
1518953892 Lakeside Nursing and Rehabilitation Center, Inc. Skilled Nursing Facility 1207 Willow Run Road, Lake City, AR 72437-0578 2005-09-22
Find all providers in LAKE CITY

Competitor

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City LAKE CITY
Zip Code 37769

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Dataset Information

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.

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