LAKE REGIONAL HEALTH SYSTEM (NPI# 1740255520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740255520 |
| Entity Type | Organization |
| Organization Name | LAKE REGIONAL HEALTH SYSTEM |
| Other Organization Name | LAKE REGIONAL HOME HEALTH |
| Practice Address |
1193 Highway Kk Ste C Osage Beach MO 65065-3344 |
| Mailing Address |
54 Hospital Drive Osage Beach MO 65065-3050 |
| Practice Telephone | 5733022860 |
| Practice Fax Number | 5733488326 |
| Mailing Telephone | 5733488000 |
| Mailing Fax Number | 5733488326 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2015-08-10 |
| Authorized Official Name | MR. DAVID W. HALSELL (SR. V.P., CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5733488388 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 457-17HH | MO | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 583558804 | 05 |
| Other Name | Type Code |
|---|---|
| Lake Regional Home Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346530797 | Lake Regional Health System | Clinic/Center | 14298 W Us Highway 54, Macks Creek, MO 65786-6730 | 2011-04-19 |
| 1427162254 | Lake Regional Health System | Clinic/Center | 156 Missouri Boulevard, Suite B, Laurie, MO 65038-4933 | 2006-08-18 |
| 1548743412 | Lake Regional Health System | Clinic/Center | 54 Hospital Dr, Osage Beach, MO 65065-3050 | 2018-09-07 |
| 1417492091 | Lake Regional Health System | Hospice Care, Community Based | 1193 Highway Kk, Osage Beach, MO 65065-3344 | 2017-01-05 |
| 1962828616 | Lake Regional Health System | Family Medicine | 54 Hospital Dr, Osage Beach, MO 65065-3050 | 2014-03-05 |
| 1295151959 | Lake Regional Health System | General Acute Care Hospital | 54 Hospital Dr, Osage Beach, MO 65065-3050 | 2014-03-05 |
| 1679997407 | Lake Regional Health System | Durable Medical Equipment & Medical Supplies | 54 Hospital Dr, Suite 201, Osage Beach, MO 65065-3050 | 2014-02-14 |
| 1376883843 | Lake Regional Health System | Durable Medical Equipment & Medical Supplies | 54 Hospital Dr, Osage Beach, MO 65065-3050 | 2013-02-21 |
| 1700177128 | Lake Regional Health System | Clinic/Center | 1870 Bagnell Dam Blvd, Lake Ozark, MO 65049-8658 | 2011-04-20 |
| 1437440856 | Lake Regional Health System | Clinic/Center | 1930 N Business Route 5, Unit 1a, Camdenton, MO 65020-2659 | 2011-04-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LAKE REGIONAL HEALTH SYSTEM | 54 Hospital Dr, Osage Beach, MO 65065-3050 |
| Street Address |
1193 HIGHWAY KK STE C |
| City | OSAGE BEACH |
| State | MO |
| Zip Code | 65065-3344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417492091 | Lake Regional Health System | Hospice Care, Community Based | 1193 Highway Kk, Osage Beach, MO 65065-3344 | 2017-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437778859 | Suzanne Marie Harris | Social Worker | 1191 State Highway Kk, Suite 101, Osage Beach, MO 65065 | 2020-04-15 |
| 1982172342 | Arrowhead Retirement Operations LLC | Skilled Nursing Facility | 6100 Arrowhead Drive, Osage Beach, MO 65065 | 2018-11-05 |
| 1245723337 | William T Mcfail | Counselor | 1191 State Hwy Kk, Suite 101, Osage Beach, MO 65065 | 2018-06-13 |
| 1588102263 | Jennifer Kiske | Physical Therapist | 5780 Osage Beach Parkway, Ste 220, Osage Beach, MO 65065 | 2017-02-02 |
| 1700207586 | Brenda Renee Spies | Pharmacist | 4252 Osage Beach Parkway, Osage Beach, MO 65065 | 2013-12-23 |
| 1154668465 | Paige Hedgpath Od, PC | Optometrist | 4645g Osage Beach Parkway, Osage Beach, MO 65065 | 2013-01-07 |
| 1649548330 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 300 Kestrel Lane, Lake Ozark, MO 65065 | 2011-12-08 |
| 1437399821 | Melissa Nicole Morgan | Physical Therapy Assistant | 5177 Vicus Castri, Osage Beach, MO 65065 | 2009-02-25 |
| 1730330911 | Raymond Don Baker | Preventive Medicine | 5476 Stone Ledge Cir, Osage Beach, MO 65065 | 2008-10-06 |
| 1457514259 | Lake Family Dentistry | Dentist | 1037 Palisades Blvd Ste 9, Osage Beach, MO 65065 | 2008-07-02 |
| Find all providers in zip 65065 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033468 | Annette Presley | Home Health | 3008 Glade Ave, Saint Louis, MO 63136-1513 | 2020-11-04 |
| 1558962787 | Thoughti Inc. | Home Health | 911 Washington Ave Ste 433, Saint Louis, MO 63101-1271 | 2020-11-04 |
| 1942801345 | Homestead Health Care Ihs LLC | Home Health | 12405 Old Halls Ferry Rd Ste 100, Black Jack, MO 63033-4261 | 2020-11-03 |
| 1700487386 | Cwc Ihs, LLC | Home Health | 2347 Vorhof Dr, Saint Louis, MO 63136-5727 | 2020-11-02 |
| 1154922698 | Ericka Nycole Willis | Home Health | 4031 Dryden Ave, Saint Louis, MO 63115-2444 | 2020-11-02 |
| 1275133837 | Delicate Care, LLC | Home Health | 523 Coppinger Dr, Saint Louis, MO 63135-2111 | 2020-10-31 |
| 1629678818 | Modern Day Home Health Care | Home Health | 800 N Tucker Blvd Ste 453, Saint Louis, MO 63101-1000 | 2020-10-28 |
| 1114526894 | All About Love & Care Inc | Home Health | 2116 N Waterford Dr, Florissant, MO 63033-2301 | 2020-10-22 |
| 1639778764 | Icu Healthcare Solutions LLC | Home Health | 2441 Saint Cyr Rd, Jennings, MO 63136-5218 | 2020-10-20 |
| 1295334407 | Time of Serenity, LLC | Home Health | 5842 Macklind Ave, Saint Louis, MO 63109-3569 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
| City | OSAGE BEACH |
| Zip Code | 65065 |
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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.