LAKESIDE HEALTH AND REHABILITATION CENTER
NPI 1124385000
Skilled Nursing Facility in Dallas, PA

Active since April 18, 2012
RR 4 BOX 357, DALLAS, PA 18612(570) 639-1885 Get Directions Write a Review

NPPES record last updated: April 18, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lakeside Health And Rehabilitation Center NPPES

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

LAKESIDE HEALTH AND REHABILITATION CENTER (NPI 1124385000) is a healthcare organization registered as a skilled nursing facility in Dallas, Pennsylvania and active in the NPI registry since April 2012. The organization lists Marc Myzal, Coo, as its authorized official.

NPPES Registry Identity

NPI1124385000
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameRELIANT LAKESIDE HOLDINGS LLC
Location AddressRR 4 BOX 357Dallas, PA 18612-9236
Mailing Address3601 Island AvePhiladelphia, PA 19153-3228 · (215) 558-3700 · Fax (215) 558-3701
Organization SubpartNo
Authorized OfficialMarc MyzalCoo · (215) 558-3700
Enumeration DateApril 18, 2012
NPI 1124385000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(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.
RR 4 BOX 357, Dallas, PA 18612

Other Names 1

Doing Business AsLakeside Health And Rehabilitation Center

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 Reliant Lakeside Holdings LLC's NPI number?

The NPI number for Reliant Lakeside Holdings LLC is 1124385000. It was assigned to this organization in the NPPES registry on April 18, 2012. The provider is doing business as Lakeside Health And Rehabilitation Center.

Where is Reliant Lakeside Holdings LLC located?

Reliant Lakeside Holdings LLC is located at Rr 4 Box 357, Dallas, PA 18612. The listed phone number is (570) 639-1885.

What is Reliant Lakeside Holdings LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Reliant Lakeside Holdings LLC was last updated on April 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.