LAKEVIEW NEUROREHABILITATION CENTER, INC. (NPI# 1205997830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205997830 |
| Entity Type | Organization |
| Organization Name | LAKEVIEW NEUROREHABILITATION CENTER, INC. |
| Practice Address |
244 Highwatch Road Effingham NH 03882-8336 |
| Practice Telephone | 6035397451 |
| Practice Fax Number | 6035398888 |
| Mailing Telephone | 6035397451 |
| Mailing Fax Number | 6035398888 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2015-06-11 |
| Authorized Official Name | MS. PATRICIA M REED (ADMINISTRATOR) |
| Authorized Official Telephone | 6035398712 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 02224 | NH | Residential Treatment Facilities |
| N | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities | ||
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 02224 | NH | Residential Treatment Facilities |
| Street Address |
244 HIGHWATCH ROAD |
| City | EFFINGHAM |
| State | NH |
| Zip Code | 03882-8336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235346917 | Faith Mary Gonring | Speech-Language Pathologist | 244 Highwatch Rd, Effingham, NH 03882 | 2007-05-16 |
| 1437428356 | William Piers Kaniuka | Counselor | 244 High Watch Rd, Effingham, NH 03882 | 2011-12-21 |
| 1235471202 | Richard L Cogswell | Counselor | 63 Nh Route 153 N, Effingham, NH 03882-8121 | 2013-03-18 |
| 1497293161 | Kelsey Cote | Specialist/Technologist | 16 Woodland Way, Effingham, NH 03882-8260 | 2017-02-02 |
| 1780712489 | Lakeview Neuro Rehabilitation Center Inc | Pharmacy | 244 High Watch Rd, Effingham, NH 03882-8336 | 2007-03-02 |
| 1184251464 | Roger John Martinkus Jr. | Registered Nurse | 244 High Watch Rd, Effingham, NH 03882-8336 | 2020-03-25 |
| 1821643222 | Kelly Lane Whitman | Counselor | 244 High Watch Rd, Effingham, NH 03882-8336 | 2019-08-03 |
| 1679958300 | Dale Kristen Mcqueeney | Nurse Practitioner | 244 High Watch Rd, Effingham, NH 03882-8336 | 2015-07-23 |
| 1477990638 | Carol S Davis | Occupational Therapist | 244 High Watch Rd, Effingham, NH 03882-8336 | 2013-05-29 |
| 1518210616 | Jim Nixon | Pharmacist | 244 High Watch Rd, Effingham, NH 03882-8336 | 2012-10-26 |
| Find all providers in zip 03882 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780827881 | Great Bay Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2061 Woodbury Ave, Newington, NH 03801-2804 | 2009-04-20 |
| 1699897215 | Cedarcrest, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 91 Maple Ave, Keene, NH 03431-1629 | 2007-04-04 |
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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.