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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 0445259 | 05 | |
TN | 7440360 | 05 | |
TN | BC/BS | 114355 | 01 |
Other Name | Type Code |
---|---|
Lake City Health Care Center | Former Legal Business Name - Organization |
Street Address |
204 INDUSTRIAL PARK LN |
City | LAKE CITY |
State | TN |
Zip Code | 37769-2301 |
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 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 |
---|---|---|---|---|
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 |
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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.