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LAKE HEALTH DISTRICT NPI 1992850143


NPI Information

NPI: 1992850143
Provider Name: LAKE HEALTH DISTRICT

Doing Business As: LAKEVIEW HOME HEALTH CARE

Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 38D2190198

Address:
700 S J ST
LAKEVIEW, OR
ZIP 97630
Phone: (541) 947-2114
Get Directions

LAKE HEALTH DISTRICT is a home health in Lakeview, OR. The provider is 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. LAKE HEALTH DISTRICT NPI is 1992850143. The provider is registered as an organization entity type.
The provider Is Doing Business As Lakeview Home Health Care.

The provider's business location address is:

700 S J ST
LAKEVIEW, OR
ZIP 97630-623
Phone: (541) 947-2114
Fax: (541) 947-2433

The provider's authorized official is Gordon Ensley .
The authorized official title is Ceo and has the following contact phone number (541) 947-2114.

The CLIA number assigned to this NPI record is 38D2190198 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 4/3/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251E00000XHome Health13140896OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1802595OTHEROREGONMEDICAID ORE.HEALTHL.T.C.
2R0000ZGBMEDICARE ID-TYPE UNSPECIFIEDOREGONMEDICAREN.DAKOTA PRO FEE
3387141MEDICARE ID-TYPE UNSPECIFIEDOREGONHOME HEALTH
4381309MEDICARE OSCAR/CERTIFICATIONOREGON
5385115MEDICARE ID-TYPE UNSPECIFIEDOREGONLONG TERM CARE
6107532OTHEROREGONMEDICAID OREGON HEALTH
738Z309MEDICARE OSCAR/CERTIFICATIONOREGON
8D7289MEDICARE ID-TYPE UNSPECIFIEDOREGONMEDICARE RAILROAD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.