LAKE HEALTH DISTRICT (NPI# 1518012764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518012764 |
| Entity Type | Organization |
| Organization Name | LAKE HEALTH DISTRICT |
| Other Organization Name | LAKEVIEW HOME HEALTH CARE AND HOSPICE |
| Practice Address |
700 S J St Lakeview OR 97630-1623 |
| Practice Telephone | 5419472114 |
| Practice Fax Number | 5419472433 |
| Mailing Telephone | 5419472114 |
| Mailing Fax Number | 5419472433 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2008-04-03 |
| Authorized Official Name | MR. GORDON ENSLEY (CEO) |
| Authorized Official Telephone | 5419472114 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 13140896 | OR | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | MEDICAID OREGON HEALTH | 107532 | 01 |
| OR | MEDICAID ORE.HEALTH L.T.C | 802595 | 01 |
| Other Name | Type Code |
|---|---|
| Lakeview Home Health Care and Hospice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669945713 | Lake Health District | Clinic/Center | 100 N D St Ste 100, Lakeview, OR 97630-1552 | 2019-01-10 |
| 1699183236 | Lake Health District | Clinic/Center | 700 South J St, Lakeview, OR 97630 | 2014-07-28 |
| 1326187261 | Lake Health District | Clinic/Center | 670 County Rd 83, Canby, CA 96015 | 2007-02-06 |
| 1851399695 | Lake Health District | Medicare Defined Swing Bed Unit | 700 S J St, Lakeview, OR 97630-1623 | 2005-07-13 |
| 1285062489 | Lake Health District | Clinic/Center | 535 S Main St, Alturas, CA 96101-4114 | 2013-10-24 |
| 1285789438 | Lake Health District | Long Term Care Hospital | 700 S J St, Lakeview, OR 97630-1623 | 2007-01-25 |
| 1992850143 | Lake Health District | Home Health | 700 S J St, Lakeview, OR 97630-1623 | 2007-01-25 |
| 1376698522 | Lake Health District | Clinic/Center | 700 S J St, Lakeview, OR 97630-1623 | 2007-01-25 |
| 1588719876 | Lake Health District | Pharmacy | 700 S J St, Lakeview, OR 97630-1623 | 2007-01-24 |
| Street Address |
700 S J ST |
| City | LAKEVIEW |
| State | OR |
| Zip Code | 97630-1623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851399695 | Lake Health District | Medicare Defined Swing Bed Unit | 700 S J St, Lakeview, OR 97630-1623 | 2005-07-13 |
| 1942815071 | Amron L Lym | Physical Therapist | 700 S J St, Lakeview, OR 97630-1623 | 2020-09-15 |
| 1538774062 | Jedediah James Adams | Physical Therapist | 700 S J St, Lakeview, OR 97630-1623 | 2020-09-11 |
| 1649889148 | Mesa Greenfield | Registered Nurse | 700 S J St, Lakeview, OR 97630-1623 | 2020-07-30 |
| 1821615584 | Joseph D Hermann | Social Worker | 700 S J St, Lakeview, OR 97630-1623 | 2020-06-29 |
| 1063075406 | Julia Snedigar | Speech-Language Pathologist | 700 S J St, Lakeview, OR 97630-1623 | 2019-04-22 |
| 1003238668 | Ellen Edith Mouser | Nurse Practitioner | 700 S J St, Lakeview, OR 97630-1623 | 2014-01-15 |
| 1821428442 | Erin Danielle Steward | Physician Assistant | 700 S J St, Lakeview, OR 97630-1623 | 2013-11-18 |
| 1871840868 | Rosanne Fitzgerald | Nurse Practitioner | 700 S J St, Lake Health Clinic, Lakeview, OR 97630-1623 | 2012-08-08 |
| 1932479201 | Lake District Hospital Physicians Group | General Acute Care Hospital | 700 S J St, Lakeview, OR 97630-1623 | 2012-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891186326 | Susan Ann Mungarro | Counselor | 215 North G Street, Lakeview, OR 97630 | 2015-02-05 |
| 1699183236 | Lake Health District | Clinic/Center | 700 South J St, Lakeview, OR 97630 | 2014-07-28 |
| 1912059569 | Howards Pharmacy Inc | Pharmacy | 101 North F St, Lakeview, OR 97630 | 2007-01-16 |
| 1316056120 | Michael Sabin Dmd PC | Dentist | 733 N 1st Street, Lakeview, OR 97630 | 2006-08-29 |
| 1174586564 | Donald Frank Ott | Nurse Anesthetist, Certified Registered | 700 S J, Lakeview, OR 97630 | 2006-04-08 |
| 1760922033 | Darrel Kyniston Kyniston | Counselor | 215 North G Street, Lakeview, OR 97630 | 2017-03-06 |
| 1518376722 | Lakeview Gardens LLC | Skilled Nursing Facility | 700 South J St, Lakeview, OR 97630 | 2014-08-13 |
| 1457407264 | Angelyn Ray | Social Worker | 100 N. D Street, Office # 208 The Marius Building, Lakeview, OR 97630-0000 | 2007-01-25 |
| 1003823790 | Mary Juree Anderson | Registered Nurse | 530 Sunset, Lakeview, OR 97630-0032 | 2006-08-02 |
| 1225232663 | Barbara Joanne Vandenberg | Counselor | Po Box 948, Lakeview, OR 97630-0037 | 2007-06-11 |
| Find all providers in zip 97630 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463274 | Signature Hospice Oregon Coast, LLC | Hospice Care, Community Based | 820 Se Highway 101 Ste F, Lincoln City, OR 97367-2773 | 2020-10-06 |
| 1043817000 | Signature Hospice Eugene, LLC | Hospice Care, Community Based | 2620 River Rd Ste 300, Eugene, OR 97404-2046 | 2020-10-02 |
| 1831709567 | Graciouscare Hospice, LLC | Hospice Care, Community Based | 16500 Sw Satterberg Rd, Beaverton, OR 97007-6584 | 2020-08-07 |
| 1821607490 | Brighton Hospice Eugene, LLC | Hospice Care, Community Based | 1600 Valley River Dr Ste 220, Eugene, OR 97401-2160 | 2020-07-29 |
| 1851911648 | Signature Hospice Bend, LLC | Hospice Care, Community Based | 454 Ne Revere Ave, Bend, OR 97701-4019 | 2020-04-21 |
| 1902453681 | Sojourn Hospice and Palliative Care-portland, LLC | Hospice Care, Community Based | 16083 Sw Upper Boones Ferry Rd Ste 100, Portland, OR 97224-7736 | 2019-08-19 |
| 1649826702 | Tenderly Hospice, LLC | Hospice Care, Community Based | 9500 Sw Barbur Blvd Ste 260, Portland, OR 97219-5466 | 2019-08-14 |
| 1033687371 | Brookdale Hospice, LLC | Hospice Care, Community Based | 29757 Sw Boones Ferry Rd Ste B, Wilsonville, OR 97070-7202 | 2018-11-05 |
| 1922592427 | Excel Hospice and Palliative Care LLC | Hospice Care, Community Based | 10742 Se Highway 212, Clackamas, OR 97015-9144 | 2018-06-18 |
| 1801313200 | Serenity Palliative Care and Hospice, LLC | Hospice Care, Community Based | 1020 Green Acres Rd Ste 12, Eugene, OR 97408-1715 | 2017-08-25 |
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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.