LAKE VILLAGE NURSING & RHB CTR
NPI 1881736056
Skilled Nursing Facility in Lewisville, TX

Active since February 13, 2007CLIA 45D0673678 · Waiver
1/5
Overall Rating
169 LAKE PARK RD, LEWISVILLE, TX 75057(972) 436-7571(972) 221-4187 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2022, Feb 26, 2021, Jul 7, 2017 and 2 more (5 updates tracked since 2016).

About Lake Village Nursing & Rhb Ctr NPPES

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

LAKE VILLAGE NURSING & RHB CTR (NPI 1881736056) is a healthcare organization registered as a skilled nursing facility in Lewisville, Texas and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through November 3, 2027 and lists Soon Burnam, Treasurer Of Management Company, as its authorized official.

NPPES Registry Identity

NPI1881736056
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameEASTLAND MEMORIAL HOSPITAL DISTRICT
Location Address169 LAKE PARK RDLewisville, TX 75057-2303
Mailing Address169 Lake Park RdLewisville, TX 75057-2303 · (972) 436-7571 · Fax (972) 221-4187
Fax(972) 221-4187
Organization SubpartNo
Authorized OfficialSoon BurnamTreasurer Of Management Company · (949) 540-1249
Enumeration DateFebruary 13, 2007
Last NPPES UpdateSeptember 8, 20225 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2022
NPI 1881736056 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.
169 LAKE PARK RD, Lewisville, TX 75057

Other Names 1

Doing Business AsLake Village Nursing & Rhb Ctr

Accepted Insurance

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 45D0673678

Lake Village Nursing & Rehabilitation Center · Lewisville, TX
Active · expires Nov 3, 2027
CLIA Number45D0673678
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateNovember 4, 2025
Certificate Expiration DateNovember 3, 2027
Laboratory DirectorMiguel Hernandez
Laboratory Phone(972) 436-7571
Laboratory LocationLake Village Nursing & Rehabilitation Center169 Lake Park Rd, Lewisville, TX 75057
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Lake Village Nursing And Rehabilitation Center (CMS certification number 675560), from CMS Care Compare.

Lake Village Nursing And Rehabilitation Center

Nursing home · Lewisville, TX
1/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number675560
Certified Beds112 beds78 residents per day on average
Medicare & Medicaid Participant SinceJanuary 4, 1996
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
2/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
91.33
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 1.49 · LPN 0.96 · RN 0.22
2.67 hrs per resident per day
Weekend Nurse Staffing
2.29 hrs per resident per day
Physical Therapist Staffing
0.25 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
70%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
4
Substantiated Complaints
1
Infection-Control Citations
1
Fines
3 totaling $37,584.06
Medicare Payment Denials
1
Total Penalties
4
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 4

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

Speech-Language Pathologist
169 LAKE PARK RD
LEWISVILLE, TX 75057
Nurse Practitioner (Family)
169 LAKE PARK RD
LEWISVILLE, TX 75057
Skilled Nursing Facility
169 LAKE PARK RD
LEWISVILLE, TX 75057
Occupational Therapy Assistant
169 LAKE PARK RD
LEWISVILLE, TX 75057

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 Eastland Memorial Hospital District's NPI number?

The NPI number for Eastland Memorial Hospital District is 1881736056. It was assigned to this organization in the NPPES registry on February 13, 2007. The provider is doing business as Lake Village Nursing & Rhb Ctr.

Where is Eastland Memorial Hospital District located?

Eastland Memorial Hospital District is located at 169 Lake Park Rd, Lewisville, TX 75057. The listed phone number is (972) 436-7571.

What is Eastland Memorial Hospital District's specialty?

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

Does Eastland Memorial Hospital District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0673678) is associated with this NPI, valid through November 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Eastland Memorial Hospital District a Medicare-certified nursing home?

Yes. Lake Village Nursing And Rehabilitation Center is a Medicare-certified nursing home with 112 certified beds.

What quality rating does Eastland Memorial Hospital District have?

CMS rates Lake Village Nursing And Rehabilitation Center 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Eastland Memorial Hospital District accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Eastland Memorial Hospital District as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eastland Memorial Hospital District was last updated on September 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.