LAKEPORT SKILLED NURSING CENTER, INC.
NPI 1548269855
Skilled Nursing Facility in Lakeport, CA

Active since July 19, 2005
625 16TH ST, LAKEPORT, CA 95453(707) 263-6300(707) 263-6300 Get Directions Write a Review

NPPES record last updated: June 10, 2008. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Lakeport Skilled Nursing Center, Inc. NPPES

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

LAKEPORT SKILLED NURSING CENTER, INC. (NPI 1548269855) is a healthcare organization registered as a skilled nursing facility in Lakeport, California and active in the NPI registry since July 2005. The organization lists Larry E Bear, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1548269855
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLAKEPORT SKILLED NURSING CENTER, INC.
Location Address625 16TH STLakeport, CA 95453-3599
Mailing Address4020 Sierra College Blvd, Suite #190Rocklin, CA 95677-3906 · (916) 624-6230 · Fax (916) 624-6249
Fax(707) 263-6300
Organization SubpartYesParent: Horizon West Healthcare Of California, Inc.
Authorized OfficialLarry E BearChief Executive Officer · (916) 624-6230
Enumeration DateJuly 19, 2005
Last NPPES UpdateJune 10, 2008
NPI 1548269855 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 CA · 110000509
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.
625 16TH ST, Lakeport, CA 95453

Other Identifiers 3

MedicaidZZR05499GCA
Medicare NSC5442670001CA
Medicare OSCAR/certification055499CA

Other Providers at the Same Location NPPES

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

Skilled Nursing Facility
625 16TH ST
LAKEPORT, CA 95453

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 Lakeport Skilled Nursing Center, Inc.'s NPI number?

The NPI number for Lakeport Skilled Nursing Center, Inc. is 1548269855. It was assigned to this organization in the NPPES registry on July 19, 2005.

Where is Lakeport Skilled Nursing Center, Inc. located?

Lakeport Skilled Nursing Center, Inc. is located at 625 16th St, Lakeport, CA 95453. The listed phone number is (707) 263-6300.

What is Lakeport Skilled Nursing Center, Inc.'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 Lakeport Skilled Nursing Center, Inc. was last updated on June 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.