LAKEWOOD HEALTH CENTER (NPI# 1538245386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538245386 |
| Entity Type | Organization |
| Organization Name | LAKEWOOD HEALTH CENTER |
| Other Organization Name | LAKEWOOD CARE CENTER |
| Practice Address |
600 Main Ave S Baudette MN 56623-2855 |
| Practice Telephone | 2186342120 |
| Practice Fax Number | 2186341094 |
| Mailing Telephone | 2186342120 |
| Mailing Fax Number | 2186341094 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. SHARRAY A PALM (CEO) |
| Authorized Official Telephone | 2186342120 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 313M00000X | Nursing Facility/Intermediate Care Facility | 330061 | MN | Nursing & Custodial Care Facilities |
| X | 314000000X | Skilled Nursing Facility | 330061 | MN | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| LakeWood Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508914995 | Lakewood Health Center | Public Health or Welfare | 1855 Jonesboro Road Se, Atlanta, GA 30315 | 2007-01-08 |
| 1548524648 | Lakewood Health Center | Assisted Living Facility | 600 Main Ave S, Baudette, MN 56623-2855 | 2012-07-03 |
| 1659511335 | Lakewood Health Center | Clinic/Center | 600 Main Ave S, Baudette, MN 56623-2855 | 2009-02-20 |
| 1972799237 | Lakewood Health Center | Clinic/Center | 600 Main Ave S, Baudette, MN 56623-2855 | 2007-09-20 |
| 1487713509 | Lakewood Health Center | Public Health or Welfare | 600 Main Ave S, Baudette, MN 56623-2855 | 2006-12-06 |
| 1104850924 | Lakewood Health Center | Hospice Care, Community Based | 600 Main Ave S, Baudette, MN 56623-2855 | 2006-07-10 |
| 1699707216 | Lakewood Health Center | Home Health | 600 Main Ave S, Baudette, MN 56623-2855 | 2006-07-06 |
| 1346215084 | Lakewood Health Center | Medicare Defined Swing Bed Unit | 600 Main Ave S, Baudette, MN 56623-2855 | 2006-02-17 |
| 1922072776 | Lakewood Health Center | General Acute Care Hospital | 600 Main Ave S, Baudette, MN 56623-2855 | 2006-02-16 |
| Street Address |
600 MAIN AVE S |
| City | BAUDETTE |
| State | MN |
| Zip Code | 56623-2855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730178617 | Christopher Kelley Mcgraw | Neuromusculoskeletal Medicine & OMM | 600 Main Ave S, Baudette, MN 56623-2855 | 2005-10-14 |
| 1265066245 | Ashley Malchow | Registered Nurse | 600 Main Ave S, Baudette, MN 56623-2855 | 2020-02-27 |
| 1093288789 | Muhammad Arshad Bhalli | Physician Assistant | 600 Main Ave S, Baudette, MN 56623-2855 | 2019-01-06 |
| 1952884041 | Audrey Jean Brasel | Nurse Practitioner | 600 Main Ave S, Baudette, MN 56623-2855 | 2018-09-13 |
| 1013452333 | Michelle A Brown | Nurse Practitioner | 600 Main Ave S, Baudette, MN 56623-2855 | 2016-12-21 |
| 1548524648 | Lakewood Health Center | Assisted Living Facility | 600 Main Ave S, Baudette, MN 56623-2855 | 2012-07-03 |
| 1285947556 | Justin Quo | Family Medicine | 600 Main Ave S, Baudette, MN 56623-2855 | 2010-07-15 |
| 1174840672 | Gabriel Dan Mooney | Dietitian, Registered | 600 Main Ave S, Baudette, MN 56623-2855 | 2010-04-23 |
| 1659511335 | Lakewood Health Center | Clinic/Center | 600 Main Ave S, Baudette, MN 56623-2855 | 2009-02-20 |
| 1972740488 | Saravana K Balaraman | Family Medicine | 600 Main Ave S, Baudette, MN 56623-2855 | 2009-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346380680 | Lake of The Woods County Social Services | Public Health or Welfare | 206 8th Ave. Se, Suite 200, Baudette, MN 56623 | 2007-02-07 |
| 1225183981 | Cja Consulting, Inc. | Psychologist | 106 8th Ave Se, Suite 200, Baudette, MN 56623 | 2007-01-24 |
| 1164504049 | Independent School District No 390 | Local Education Agency (LEA) | 236 15th Ave Sw, Baudette, MN 56623 | 2006-10-19 |
| 1811993421 | Constance Anderson Aagard | Psychologist | 106 8th Ave. Se, Baudette, MN 56623 | 2005-06-28 |
| 1730184797 | David Clark Wohlrabe | Dentist | 406 Main St. Nw, Baudette, MN 56623-0546 | 2005-06-16 |
| 1568591097 | Davy L Nesmoe | Chiropractor | 204 Main Ave North, Baudette, MN 56623-1039 | 2007-03-02 |
| 1447255385 | Smn Inc | Pharmacy | 111 N Main Ave, Baudette, MN 56623-2466 | 2005-06-16 |
| 1639782311 | Brennin Kyle O'brien | Pharmacist | 111 N Main Ave, Baudette, MN 56623-2466 | 2020-08-24 |
| 1477053577 | Thrifty Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 111 N Main Ave, Baudette, MN 56623-2466 | 2018-02-15 |
| 1598947533 | Stuart Michael Noble | Pharmacist | 111 N Main Ave, Baudette, MN 56623-2466 | 2007-12-01 |
| Find all providers in zip 56623 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548817620 | Affinity Residential Care LLC | Nursing Facility/Intermediate Care Facility | 9213 Elliot Ave S, Bloomington, MN 55420-3851 | 2019-08-22 |
| 1548703929 | Lynda Duoseke Abagi | Nursing Facility/Intermediate Care Facility | 661 Eagle Ridge Rd, Woodbury, MN 55125-1461 | 2016-12-02 |
| 1972947851 | Villa At Osseo LLC | Nursing Facility/Intermediate Care Facility | 501 2nd Street Ne, Osseo, MN 55369-1603 | 2013-04-23 |
| 1790060838 | Stonehaven Assisted Living Inc. | Nursing Facility/Intermediate Care Facility | 8783 2nd Street South, Brookston, MN 55711-0284 | 2011-10-20 |
| 1770863375 | Walker Thompson Hill, LLC | Nursing Facility/Intermediate Care Facility | One Thompson Avenue West, West St. Paul, MN 55118-3100 | 2011-08-26 |
| 1497995203 | Kinder Care Homecare Services | Nursing Facility/Intermediate Care Facility | 270 County Road 110 N, Minnetrista, MN 55364-8316 | 2009-03-06 |
| 1609011170 | St. Francis Health Care System Inc | Nursing Facility/Intermediate Care Facility | 1591 Woodlynn Ave Unit 1, Maplewood, MN 55109-5709 | 2008-12-11 |
| 1154580793 | Sunrise To Sunset Adult Day Services Inc. | Nursing Facility/Intermediate Care Facility | 3001 W Arrowhead Rd, Duluth, MN 55811-4232 | 2008-06-09 |
| 1861672198 | Harmony Living Health Care Services | Nursing Facility/Intermediate Care Facility | 7509 Colfax Ave N, Brooklyn Park, MN 55444-2550 | 2007-11-03 |
| 1841409836 | Williams, Inc. | Nursing Facility/Intermediate Care Facility | 2500 Pillsbury Ave S, Minneapolis, MN 55404-4201 | 2007-05-22 |
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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.