LAKE PARK NURSING & REHABILITATION CENTER
NPI 1548206907
Skilled Nursing Facility in Indian Trail, NC

Q: What is Everest Long Term Care, LLC's NPI number?

The NPI number for Everest Long Term Care, LLC is 1548206907. It was assigned to this organization in the NPPES registry on June 22, 2006. The provider is doing business as Lake Park Nursing & Rehabilitation Center.

Q: What is Everest Long Term Care, LLC's specialty?

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

Q: What quality rating does Everest Long Term Care, LLC have?

CMS rates Lake Park Nursing And Rehabilitation Center 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

Active since June 22, 2006

2/5

Overall Rating

3315 FAITH CHURCH RD, INDIAN TRAIL, NC 28079(704) 882-3420(704) 882-5197 Get Directions Write a Review

NPPES record last updated: July 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2021, May 18, 2021, Mar 1, 2017 (3 updates tracked since 2017).

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About Lake Park Nursing & Rehabilitation Center NPPES

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

LAKE PARK NURSING & REHABILITATION CENTER (NPI 1548206907) is a healthcare organization registered as a skilled nursing facility in Indian Trail, North Carolina and active in the NPI registry since June 2006. The organization lists Karen G Mcdaniel, President, as its authorized official.

NPPES Registry Identity

NPI1548206907

Entity TypeOrganization

Primary Taxonomy314000000X

Legal Business NameEVEREST LONG TERM CARE, LLC

Location Address3315 FAITH CHURCH RDIndian Trail, NC 28079-9300

Mailing AddressPo Box 2518Indian Trail, NC 28079-2518 · (704) 882-3420 · Fax (704) 882-5197

Phone(704) 882-3420

Fax(704) 882-5197

Organization SubpartNo

Authorized OfficialKaren G McdanielPresident · (252) 523-9094

Enumeration DateJune 22, 2006

Last NPPES UpdateJuly 14, 20213 updates tracked since enumeration

NPPES CertifiedJuly 14, 2021

✔ NPI 1548206907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities

Taxonomy Code314000000X

License✔ Licensed in NC · NH0592

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.

3315 FAITH CHURCH RD, Indian Trail, NC 28079

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Other Names 1

Doing Business AsLake Park Nursing & Rehabilitation Center

Other Identifiers 4

Other00867NC · Bc/bs Of Nc

Medicaid3405502NC

Medicaid3415502NC

Medicaid340613BNC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Lake Park Nursing And Rehabilitation Center (CMS certification number 345502), from CMS Care Compare.

Lake Park Nursing And Rehabilitation Center

Nursing home · Indian Trail, NC

2/5 CMS Overall Rating

OwnershipFor profit - Limited Liability company

CMS Certification Number345502

Certified Beds120 beds96 residents per day on average

Medicare & Medicaid Participant SinceJune 7, 2000

Resident & Family CouncilResident council

Automatic sprinkler system

CMS Star Ratings

Quality Measures

Based on a select set of clinical quality measures.

2/5

Long-Stay Quality

Quality of care delivered to long-term residents.

1/5

Short-Stay Quality

Quality of care delivered to short-term and rehabilitation residents.

3/5

Staffing

Based on nursing staff hours relative to resident needs.

3/5

Weighted Health Inspection Score

Lower scores are better; the score summarizes deficiencies found on recent inspections.

Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing

nurse aide 2.24 · LPN 0.82 · RN 0.75

3.81 hrs per resident per day

Weekend Nurse Staffing

3.47 hrs per resident per day

Physical Therapist Staffing

0.11 hrs per resident per day

Nursing Staff Turnover

Share of nursing staff who left the facility within the past year.

71%

Registered Nurse Turnover

45%

Administrators Who Have Left

In the past year.

Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents

Substantiated Complaints

Infection-Control Citations

Fines

2 totaling $18,514.44

Medicare Payment Denials

Total Penalties

Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 8

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

ANDREA NICOLE HATHCOCK COTA

Occupational Therapy Assistant (Low Vision)