LAKE AREA MANAGEMENT GROUP (NPI# 1578678660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578678660 |
| Entity Type | Organization |
| Organization Name | LAKE AREA MANAGEMENT GROUP |
| Other Organization Name | LAKE AREA THERAPY & REHABILITATION |
| Practice Address |
400 Bypass Ln Ste 100 Livingston TX 77351-7380 |
| Mailing Address |
1442 Kingwood Dr Pmb 73 Kingwood TX 77339-3040 |
| Practice Telephone | 9363278825 |
| Practice Fax Number | 9363288724 |
| Mailing Telephone | 2813541234 |
| Mailing Fax Number | 2813542514 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GEORGE DELOACH (DIRECTOR) |
| Authorized Official Telephone | 9363278825 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RAILROAD MEDICARE | P00190698 | 01 |
| TX | BC/BS OF TEXAS | 0038JC | 01 |
| Other Name | Type Code |
|---|---|
| Lake Area Therapy & Rehabilitation | Doing Business As Name - Organization |
| Street Address |
400 BYPASS LN STE 100 |
| City | LIVINGSTON |
| State | TX |
| Zip Code | 77351-7380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083928519 | Sammy Pe De Leon | Physical Therapist | 400 Bypass Ln Ste 100, Livingston, TX 77351-7380 | 2010-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881252765 | B&g Family Dentistry Pllc | Clinic/Center | 402 S Washington Ave, Livingston, TX 77351 | 2019-06-05 |
| 1518431907 | Clinton Jarell Collins | Occupational Therapist | 1620 Us-59 N, Livingston, TX 77351 | 2019-01-18 |
| 1205318417 | Christopher Hern | Nurse Practitioner | 1717 Us-59 Loop N, Livingston, TX 77351 | 2018-09-04 |
| 1831566520 | Susan Michelle Brownfield | Occupational Therapist | 1620 Old Us Hwy 59, Livingston, TX 77351 | 2015-08-28 |
| 1346643624 | Jigneshkumar Parmar | Dentist | 1774 Us 190 West, Livingston, TX 77351 | 2014-10-01 |
| 1063827954 | Faith Whatley-torres | Behavioral Analyst | 144 Branding Iron, Livingston, TX 77351 | 2014-06-30 |
| 1427481126 | Mary Elizabeth Kuruvilla | Dentist | 184 Ashton Bend, Livingston, TX 77351 | 2013-08-16 |
| 1255772778 | Waleed Khaled Ahmad | Dentist | 117 Southpoint Lane, Suite 400, Livingston, TX 77351 | 2013-07-12 |
| 1053750679 | Jacquelyn Y Flores | Dentist | 1114 N. Washingtion Ave., Livinston, TX 77351 | 2013-06-17 |
| 1750725131 | Womans Clinic At Livingston Pllc | Radiology | 111 Emergency Dr., Ste C, Livingston, TX 77351 | 2013-04-29 |
| Find all providers in zip 77351 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538120654 | Select Physical Therapy Holdings Inc | Clinic/Center | 449 W Mt Pleasant Ave, Livingston, NJ 07039 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709896 | All-star Rehab Plus Kids, Pllc | Clinic/Center | 1913 7th St, Bay City, TX 77414-5112 | 2020-10-29 |
| 1043827124 | Healthstar Family Rehab Center, LLC | Clinic/Center | 6800 Gateway Blvd E. Bldg 4ab, El Paso, TX 79915-1006 | 2020-09-23 |
| 1528672391 | Pro Rehab One LLC | Clinic/Center | 1929 W Us Highway 83, Rio Grande City, TX 78582-6313 | 2020-08-31 |
| 1538772488 | Optimum Kids Ltd | Clinic/Center | 1240 E Business 83 Ste A, Mission, TX 78572-9600 | 2020-08-28 |
| 1366055998 | Workfit Recovery Centre | Clinic/Center | 800 W Airport Fwy Ste 630, Irving, TX 75062-6268 | 2020-08-24 |
| 1558973842 | Paramount Medical Rehabilitation LLC | Clinic/Center | 8585 North Stemmons Freeway Ste 107-s, Dallas, TX 75247 | 2020-08-19 |
| 1013528231 | Feel Free Pt | Clinic/Center | 3323 Mccue Rd Apt 1411, Houston, TX 77056-7169 | 2020-08-11 |
| 1285259945 | Select Physical Therapy Texas Limited Partnership | Clinic/Center | 2306 Rayford Rd Ste 200, Spring, TX 77386-1707 | 2020-06-09 |
| 1427670744 | J & J Habilitation Services | Clinic/Center | 11819 Fleming Dr # Drb, Houston, TX 77013-5608 | 2020-05-08 |
| 1740819994 | Hunter Occupational Solution | Clinic/Center | 4311 Andrews Hwy., Midland, TX 79703 | 2020-04-08 |
| Find all providers with the same taxonomy | ||||
| City | LIVINGSTON |
| Zip Code | 77351 |
Please comment or provide details below to improve the information on LAKE AREA MANAGEMENT GROUP.
| 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.