LAKEVIEW CHRISTIAN HOME OF THE SOUTHWEST, INC. (NPI# 1487644464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487644464 |
Entity Type | Organization |
Organization Name | LAKEVIEW CHRISTIAN HOME OF THE SOUTHWEST, INC. |
Other Organization Name | LAKEVIEW CHRISTIAN HOSPICE & HOME HEALTH |
Practice Address |
1300 N Canal St Carlsbad NM 88220-4600 |
Mailing Address |
1905 W Pierce St Carlsbad NM 88220-4025 |
Practice Telephone | 5058873947 |
Practice Fax Number | 5052341905 |
Mailing Telephone | 5058873947 |
Mailing Fax Number | 5052341905 |
Enumeration Date | 2005-10-21 |
Last Update Date | 2012-07-18 |
Authorized Official Name | MS. JOANNA D. KNOX (C.E.O.) |
Authorized Official Telephone | 5058873947 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251E00000X | Home Health | 6567 | NM | Agencies |
N | 251J00000X | Nursing Care | 5088 | NM | Agencies |
N | 310400000X | Assisted Living Facility | 5553 | NM | Nursing & Custodial Care Facilities |
N | 314000000X | Skilled Nursing Facility | 5088 | NM | Nursing & Custodial Care Facilities |
Y | 251G00000X | Hospice Care, Community Based | 3000 | NM | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | I0381 | 05 | |
NM | N3177 | 05 | |
NM | B5046 | 05 |
Other Name | Type Code |
---|---|
Lakeview Christian Hospice & Home Health | Doing Business As Name - Organization |
Street Address |
1300 N CANAL ST |
City | CARLSBAD |
State | NM |
Zip Code | 88220-4600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083248991 | Diana P Levy | Nurse Anesthetist, Certified Registered | Carlsbad Medical Center, 2430 W Pierce St., Carlsbad, NM 88220 | 2020-02-29 |
1790333680 | Angela Houston | Nurse Practitioner | 202 W. Church Street, Carlsbad, NM 88220 | 2019-09-03 |
1265958722 | Amanda Henry | Social Worker | 3000, West Church Street, Carlsbad, NM 88220 | 2017-08-16 |
1952827610 | Audriana B Martinez | Physical Therapy Assistant | 1038 Pinon Ln, Carlsbad, NM 88220 | 2017-08-15 |
1730538265 | Amber Bojorquez | Registered Nurse | 406 N. Alameda St., Carlsbad, NM 88220 | 2016-06-06 |
1164887584 | Kassandra Prutsman | Specialist | 126 S. Canyon, Carlsbad, NM 88220 | 2015-12-30 |
1306220314 | Rocky Mountain Holdings, LLC | Ambulance | 1505 Terminal Dr, Carlsbad, NM 88220 | 2015-07-20 |
1578986402 | Sheryl L Dugger | Registered Nurse | 406 N. Alameda, Carlsbad, NM 88220 | 2014-01-29 |
1194153106 | Wellcare, Inc. | Hospice Care, Community Based | 220 S Canal St Ste B, Carlsbad, NM 88220 | 2013-10-30 |
1932537420 | Wellcare, Inc | Home Health | 220 S Canal St Ste A, Carlsbad, NM 88220 | 2013-10-22 |
Find all providers in zip 88220 |
Taxonomy Code | 251G00000X |
Grouping | Agencies |
Classification | Hospice Care, Community Based |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568092435 | Dignity Hospice Care Inc | Hospice Care, Community Based | 2870 Whiptail Loop Ste 214, Carlsbad, CA 92010-6709 | 2020-01-20 |
1194153106 | Wellcare, Inc. | Hospice Care, Community Based | 220 S Canal St Ste B, Carlsbad, NM 88220 | 2013-10-30 |
1225173230 | Landsun Homes Inc | Hospice Care, Community Based | 1815 Westridge Rd, Carlsbad, NM 88220-3507 | 2007-02-20 |
1992704506 | Hospice of The North Coast | Hospice Care, Community Based | 2525 Pio Pico Dr, Suite 301, Carlsbad, CA 92008-1568 | 2005-07-15 |
1861841835 | Pacific Point Health Care Services, Inc. | Hospice Care, Community Based | 5938 Priestly Dr, #102a, Carlsbad, CA 92008-8847 | 2016-06-09 |
1265881668 | Pacific Point Health Care Services, Inc. | Hospice Care, Community Based | 5938 Priestly Dr, #102a, Carlsbad, CA 92008-8847 | 2016-06-07 |
1134509821 | Hospice of The North Coast | Hospice Care, Community Based | 2525 Pio Pico Dr, Suite 301, Carlsbad, CA 92008-1568 | 2015-06-08 |
1982021002 | Tlc Home Health Care, LLC | Hospice Care, Community Based | 320 W Mermod St, Carlsbad, NM 88220-5731 | 2014-03-26 |
1861746117 | Pf Development 7, LLC | Hospice Care, Community Based | 513 S Canal St, Carlsbad, NM 88220-5660 | 2012-11-07 |
1720157423 | Jch Inc Golden Services | Hospice Care, Community Based | 800 W Pierce St, Carlsbad, NM 88220-5200 | 2006-11-07 |
Find all providers in CARLSBAD |
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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.