LAKE WAY SNF OPERATIONS LLC
NPI 1699667691
Skilled Nursing Facility in Benton, KY

Active since July 16, 2025CLIA 18D0670255 · Waiver
2607 MAIN ST, BENTON, KY 42025(270) 527-3296 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Way Snf Operations Llc NPPES

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

LAKE WAY SNF OPERATIONS LLC (NPI 1699667691), doing business as Lake Way Rehabilitation And Healthcare Center, is a healthcare organization registered as a skilled nursing facility in Benton, Kentucky and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Menucha Goodman, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1699667691
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLAKE WAY SNF OPERATIONS LLC
Location Address2607 MAIN STBenton, KY 42025-7601
Mailing Address2607 Main StBenton, KY 42025-7601
Organization SubpartYes
Authorized OfficialMenucha GoodmanAuthorized Official · (848) 201-8402
Enumeration DateJuly 16, 2025
Last NPPES UpdateFebruary 4, 2026
NPPES CertifiedFebruary 4, 2026
NPI 1699667691 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.
2607 MAIN ST, Benton, KY 42025

Other Names 1

Doing Business AsLake Way Rehabilitation And Healthcare Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D0670255

Lake Way Snf Operations LLC, Dba Lake Way Rehabilitation And Healthcare Center · Benton, KY
Active · expires Aug 31, 2026
CLIA Number18D0670255
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMr. Randall L. Mcclellan
Laboratory Phone(270) 527-3296
Laboratory LocationLake Way Snf Operations LLC, Dba Lake Way Rehabilitation And Healthcare Center2607 Main Street, Benton, KY 42025
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

Internal Medicine
2607 MAIN ST
BENTON, KY 42025
Physical Therapy Assistant
2607 MAIN ST
BENTON, KY 42025
Physical Therapy Assistant
2607 MAIN ST
BENTON, KY 42025
Skilled Nursing Facility
2607 MAIN ST
BENTON, KY 42025
Speech-Language Pathologist
2607 MAIN ST
BENTON, KY 42025
Nurse Practitioner (Family)
2607 MAIN ST
BENTON, KY 42025
Internal Medicine
2607 MAIN ST
BENTON, KY 42025

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 Lake Way Snf Operations LLC's NPI number?

The NPI number for Lake Way Snf Operations LLC is 1699667691. It was assigned to this organization in the NPPES registry on July 16, 2025. The provider is doing business as Lake Way Rehabilitation and Healthcare Center.

Where is Lake Way Snf Operations LLC located?

Lake Way Snf Operations LLC is located at 2607 Main St, Benton, KY 42025. The listed phone number is (270) 527-3296.

What is Lake Way Snf Operations LLC's specialty?

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

Does Lake Way Snf Operations LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D0670255) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lake Way Snf Operations LLC was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.