NPI 1598002966 LAKE DRIVE HEALTH CARE LLC HENRYETTA OK. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Lake Drive Health Care Llc - NPI: 1598002966

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: LAKE DRIVE HEALTH CARE LLC
NPI Number: 1598002966
Entity Type Code: Organizational (2)
Authorized Official Name: JUDAH BIENSTOCK
(MANAGING MEMBER)
Mailing Address: 600 Lake Rd
Henryetta
State: OK US
Postal Code: 744375415
Phone Number: 9186528101
Fax Number: 9186520253
NPI Enumeration Date: 01/05/2013
NPI Last Update Date: 12/02/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 315P00000X
License Number: NH5605
Healthcare Provider Taxonomy:
(Secondary)
Y
State: OK
Taxonomy Type: Nursing & Custodial Care Facilities
Taxonomy Classification: Intermediate Care Facility, Mentally Retarded
Taxonomy Specialization:
Taxonomy Definition:
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.


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