LAKE WAY SNF OPERATIONS LLC
NPI 1699667691
Skilled Nursing Facility in Benton, KY
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
Specialties & Licenses
Other Names 1
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, KYOther Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.