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

NPI Status: Active since April 18, 2012

Contact Information

RR 4 BOX 357
DALLAS, PA
ZIP 18612
Phone: (570) 639-1885

Get Directions Write a Review

  • Organization
  • Skilled Nursing Facility

About LAKESIDE HEALTH AND REHABILITATION CENTER

This page provides the complete NPI Profile along with additional information for Lakeside Health And Rehabilitation Center, a provider established in Dallas, Pennsylvania operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1124385000 assigned on April 2012. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Lakeside Health And Rehabilitation Center. The authorized official of this NPI record is Marc Myzal (Coo)

NPI
1124385000
Provider Legal Name
RELIANT LAKESIDE HOLDINGS LLC
Other Organization Name
LAKESIDE HEALTH AND REHABILITATION CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
RR 4 BOX 357 DALLAS, PA 18612
Location Phone
(570) 639-1885
Mailing Address
3601 ISLAND AVE PHILADELPHIA, PA 19153
Mailing Phone
(215) 558-3700
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-18-2012
Last Update Date
04-18-2012
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
(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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARC MYZAL

Authorized Official Title
COO
Authorized Official Phone
(215) 558-3700

Reviews for LAKESIDE HEALTH AND REHABILITATION CENTER

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1124385000, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
3
Doubled → 6
Pos 6
8
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
0
Unchanged
Pos 9
0
Doubled → 0
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 3 → 6 5 → 10 → 1 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 6 + 8 + 1 + 0 + 0 + 0 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1124385000.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124385000, enumerated as an "organization" on April 18, 2012.

The provider is located at RR 4 BOX 357 DALLAS, PA 18612 and the phone number is (570) 639-1885.

Skilled Nursing Facility with taxonomy code 314000000X.