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LAKESIDE TERRACE
NPI 1124095534
Intermediate Care Facility, Intellectual Disabilities in Sabetha, KS

Active since March 03, 2006CLIA 17D2199937 · Waiver
1100 HARRISON, SABETHA, KS 66534(785) 284-3471(785) 284-3697 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lakeside Terrace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKESIDE TERRACE (NPI 1124095534) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Sabetha, Kansas and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through November 11, 2026 and lists Ed J Strahm, Administrator, as its authorized official.

NPPES Registry Identity

NPI1124095534
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameLAKESIDE TERRACE
Location Address1100 HARRISONSabetha, KS 66534
Mailing Address511 Paramount StSabetha, KS 66534 · (785) 284-3471 · Fax (785) 284-3697
Phone(785) 284-3471
Fax(785) 284-3697
Organization SubpartNo
Authorized OfficialEd J StrahmAdministrator · (785) 284-3471
Enumeration DateMarch 3, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1124095534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in KS · N066007
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
1100 HARRISON, Sabetha, KS 66534
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 17D2199937

Lakeside Terrace · Sabetha, KS
Active · expires Nov 11, 2026
CLIA Number17D2199937
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateNovember 12, 2024
Certificate Expiration DateNovember 11, 2026
Laboratory DirectorDebbie Tangeman
Laboratory Phone(785) 284-0005
Laboratory LocationLakeside Terrace1100 Harrison St, Sabetha, KS 66534
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeside Terrace's NPI number?

The NPI number for Lakeside Terrace is 1124095534. It was assigned to this organization in the NPPES registry on March 3, 2006.

Where is Lakeside Terrace located?

Lakeside Terrace is located at 1100 Harrison, Sabetha, KS 66534. The listed phone number is (785) 284-3471.

What is Lakeside Terrace's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does Lakeside Terrace hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2199937) is associated with this NPI, valid through November 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lakeside Terrace was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.