LAKEBRIDGE HEALTH CARE CENTER
NPI 1407933443
Skilled Nursing Facility in Johnson City, TN

Active since November 01, 2006
115 WOODLAWN DR, JOHNSON CITY, TN 37604(423) 975-0095(423) 928-0358 Get Directions Write a Review

NPPES record last updated: June 12, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lakebridge Health Care Center NPPES

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

LAKEBRIDGE HEALTH CARE CENTER (NPI 1407933443) is a healthcare organization registered as a skilled nursing facility in Johnson City, Tennessee and active in the NPI registry since November 2006. The organization lists Jimmy (j.r.) R Lewis, Chief Manager, as its authorized official.

NPPES Registry Identity

NPI1407933443
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLAKEBRIDGE MEDICAL INVESTORS, LLC
Location Address115 WOODLAWN DRJohnson City, TN 37604-5978
Mailing Address115 Woodlawn DrJohnson City, TN 37604-5978 · (423) 975-0095 · Fax (423) 928-0358
Fax(423) 928-0358
Organization SubpartNo
Authorized OfficialJimmy (j.r.) R LewisChief Manager · (423) 975-5455
Enumeration DateNovember 1, 2006
Last NPPES UpdateJune 12, 2008
NPI 1407933443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.

Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X · License 0000000340 (TN)
115 WOODLAWN DR, Johnson City, TN 37604

Other Names 1

Doing Business AsLakebridge Health Care Center

Other Identifiers 4

Medicare NSC6097440001
Medicaid0445358TN
Medicaid7440576TN
Medicare OSCAR/certification445358

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
115 WOODLAWN DR
JOHNSON CITY, TN 37604
Nurse Practitioner (Family)
115 WOODLAWN DR
JOHNSON CITY, TN 37604
Physical Therapist
115 WOODLAWN DR
JOHNSON CITY, TN 37604
Skilled Nursing Facility
115 WOODLAWN DR
JOHNSON CITY, TN 37604

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407933443, enumerated as an "organization" on November 01, 2006.

The provider is located at 115 WOODLAWN DR JOHNSON CITY, TN 37604 and the phone number is (423) 975-0095.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.