LAKEVIEW METHODIST HEALTH CARE CENTER (NPI# 1831191147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831191147 |
| Entity Type | Organization |
| Organization Name | LAKEVIEW METHODIST HEALTH CARE CENTER |
| Practice Address |
610 Summit Dr Fairmont MN 56031-2247 |
| Practice Telephone | 5072356606 |
| Practice Fax Number | 5072356767 |
| Mailing Telephone | 5072356606 |
| Mailing Fax Number | 5072356767 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROBERT S LAKE (ADMINISTRATOR) |
| Authorized Official Telephone | 5072356606 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 245280 | MN | Nursing & Custodial Care Facilities |
| Street Address |
610 SUMMIT DR |
| City | FAIRMONT |
| State | MN |
| Zip Code | 56031-2247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265944318 | Amber J Michael | Occupational Therapist | 610 Summit Dr, Fairmont, MN 56031-2247 | 2017-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407097025 | David Robert Rynders | Counselor | 301 Downtown Plaza, #3, Fairmont, MN 56031 | 2009-03-11 |
| 1992902449 | Wal-mart Stores, Inc. | Technician/Technologist | 1250 Goemann Road, Fairmont, MN 56031 | 2007-06-28 |
| 1417099813 | Thomas Joe Larson | Dentist | 800 Clinic Circle, Fairmont, MN 56031 | 2007-02-13 |
| 1912076795 | Rem Heartland Inc | Intermediate Care Facility, Mentally Retarded | 111 Dorothy Street, Fairmont, MN 56031 | 2006-11-07 |
| 1750466322 | Rem Heartland Inc | Intermediate Care Facility, Mentally Retarded | 107 Dorothy Street, Fairmont, MN 56031 | 2006-10-25 |
| 1588744155 | Kerri Lynn Henderson | Chiropractor | 115 1/2 West Blue Earth Ave, Fairmont, MN 56031 | 2006-10-17 |
| 1427142199 | Maurice Lee Shoen | Counselor | 115 West First St, Fairmont, MN 56031 | 2006-10-03 |
| 1538253703 | Nathan Craig Jorgenson | Dentist | 717 South State Street, Suite 600, Fairmont, MN 56031 | 2006-10-03 |
| 1942311154 | Leon James Rochovitz | Optometrist | 288 S State Street, Five Lakes Centre, Fairmont, MN 56031 | 2006-08-31 |
| 1215903414 | Mayo Clinic Hospital-rochester | Clinic/Center | 835 Johnson Street, Fairmont, MN 56031 | 2006-02-27 |
| Find all providers in zip 56031 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053542555 | Arbors of Fairmont | Skilled Nursing Facility | 1700 Big Tree Dr Apt 79, Fairmont, WV 26554-8310 | 2009-07-31 |
| 1346274370 | Kaufman Street Wv LLC | Skilled Nursing Facility | 130 Kaufman Dr, Fairmont, WV 26554-2179 | 2006-07-10 |
| 1437134004 | City of Fairmont Nebraska - Fairview Manor | Skilled Nursing Facility | 255 F St, Fairmont, NE 68354-9771 | 2005-12-07 |
| 1316935703 | Wishing Well Nursing Home, Inc. | Skilled Nursing Facility | 1539 Country Club Rd, Fairmont, WV 26554-1306 | 2005-10-10 |
| 1073501466 | Wishing Well Manor, Inc. | Skilled Nursing Facility | 1543 Country Club Rd, Fairmont, WV 26554-1306 | 2005-10-10 |
| 1861998486 | Guardian Elder Care At Fairmont LLC | Skilled Nursing Facility | 130 Kaufman Dr, Fairmont, WV 26554-2179 | 2018-04-03 |
| 1629584727 | Qls Fairmont LLC | Skilled Nursing Facility | 130 Kaufman Dr, Fairmont, WV 26554-2179 | 2017-12-27 |
| 1326439522 | Oak Hrc Fairmont LLC | Skilled Nursing Facility | 130 Kaufman Dr, Fairmont, WV 26554-2179 | 2015-02-10 |
| 1578709341 | 1539 Country Club Road Operations LLC | Skilled Nursing Facility | 1539 Country Club Rd, Fairmont, WV 26554-1306 | 2008-12-30 |
| 1396981064 | 1543 Country Club Road Manor Operations LLC | Skilled Nursing Facility | 1543 Country Club Rd, Fairmont, WV 26554-1306 | 2008-12-30 |
| Find all providers in FAIRMONT | ||||
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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.