LAKE VIEW TERRACE MEMORY CARE (NPI# 1033440458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033440458 |
| Entity Type | Organization |
| Organization Name | LAKE VIEW TERRACE MEMORY CARE |
| Other Organization Name | LHC PARTNERS LP |
| Practice Address |
320 Lake Havasu Ave N Lake Havasu City AZ 86403-4701 |
| Practice Telephone | 9288558099 |
| Practice Fax Number | 9288556666 |
| Mailing Telephone | 9288558099 |
| Mailing Fax Number | 9288556666 |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2010-01-25 |
| Authorized Official Name | MR. GREGORY RODERICK (MANAGER) |
| Authorized Official Telephone | 9288558099 |
| Is Organization Subpart | Y |
| Parent Organization Name | LHC PARTNERS, LP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311500000X | Alzheimer Center (Dementia Center) | ========= | OR | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| LHC Partners LP | Doing Business As Name - Organization |
| Street Address |
320 LAKE HAVASU AVE N |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86403-4701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609493642 | Gr Lhc, LLC | Assisted Living Facility | 320 Lake Havasu Ave N, Lake Havasu City, AZ 86403-4701 | 2020-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104479039 | Liska's Apothecary Shop, Inc. | Assisted Living Facility | 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 | 2019-07-19 |
| 1275033227 | Ayad Costy | Pharmacist | 75 North Lake Havasu City, Lake Havasu City, AZ 86403 | 2018-02-16 |
| 1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
| 1063965036 | Cerner Health Connections, Inc | Clinic/Center | 89 Civic Center Blvd, Lake Havasu City, AZ 86403 | 2016-07-26 |
| 1447643358 | Lundin Dental PC | Durable Medical Equipment & Medical Supplies | 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 | 2015-03-17 |
| 1912301425 | Arizona Havasu Bdm Pak LLC | Dentist | 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 | 2014-10-13 |
| 1386047850 | Emily E Vona | Nurse Practitioner | 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 | 2014-09-29 |
| 1750700589 | Thomas Wennergren | Pharmacist | 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 | 2014-04-09 |
| 1285997460 | Jamie L Lemire | Pharmacist | 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 | 2012-06-21 |
| 1053694448 | Goodwill of Northern Arizona | Exclusive Provider Organization | 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 | 2011-09-22 |
| Find all providers in zip 86403 | ||||
| Taxonomy Code | 311500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Alzheimer Center (Dementia Center) |
| A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer’s Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871060004 | Hope Springs Memory Care, LLC | Alzheimer Center (Dementia Center) | 4762 E Adams St, Tucson, AZ 85712-4002 | 2018-10-25 |
| 1043725765 | Pacifica Sl Scottsdale LLC | Alzheimer Center (Dementia Center) | 2620 N. 68th Street, Scottsdale, AZ 85257 | 2017-12-04 |
| 1154779635 | Regency Senior Club | Alzheimer Center (Dementia Center) | 2972 N Campbell Ave, Tucson, AZ 85719-2813 | 2016-05-25 |
| 1659771103 | Jamison Senior Living Communities, LLC | Alzheimer Center (Dementia Center) | 1020 N Woodland Ave, Tucson, AZ 85711-7308 | 2014-09-02 |
| 1215273578 | Gilbert Partners, LLC | Alzheimer Center (Dementia Center) | 6345 E Baseline Rd, Mesa, AZ 85206-4900 | 2012-12-13 |
| 1932479946 | Chandler Fairview Partners, LLC | Alzheimer Center (Dementia Center) | 2200 W Fairview St, Chandler, AZ 85224-4709 | 2012-01-06 |
| 1851696934 | Emeritus Corporation | Alzheimer Center (Dementia Center) | 310 S 63rd St, Mesa, AZ 85206-6016 | 2011-01-20 |
| 1528384120 | Mary's Care Home | Alzheimer Center (Dementia Center) | 9288 N Lost Sage Dr, 8746 Stockon Hill Rd #17, Kingman, AZ 86409-9359 | 2010-04-08 |
| 1982931002 | Brea Peoria, LLC | Alzheimer Center (Dementia Center) | 9296 W Union Hills Dr, Peoria, AZ 85382-8158 | 2009-11-10 |
| 1043422801 | Emeritus Corporation | Alzheimer Center (Dementia Center) | 2100 S Woodlands Village Blvd, Flagstaff, AZ 86001 | 2007-05-04 |
| Find all providers with the same taxonomy | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
Please comment or provide details below to improve the information on LAKE VIEW TERRACE MEMORY CARE.
| 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.