LAKE VILLAGE NURSING & REHAB
NPI 1922088970
Skilled Nursing Facility in Lewisville, TX
- Organization
- Skilled Nursing Facility
- CLIA Number: 45D0673678
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 11-03-2027
About LAKE VILLAGE NURSING & REHAB
This page provides the complete NPI Profile along with additional information for Lake Village Nursing & Rehab, a provider established in Lewisville, Texas operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1922088970 assigned on January 2006. The practitioner's primary taxonomy code is 314000000X with license number 113275 (TX). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Lake Village Nursing & Rehab. The authorized official of this NPI record is Michelle Roberts Rn (Corporate Officer)
- NPI
- 1922088970 Verify this NPI
- Provider Legal Name
- LONG TERM CARE OF TEXAS, INC.
- Other Organization Name
- LAKE VILLAGE NURSING & REHAB
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 169 LAKE PARK RD LEWISVILLE, TX 75057
- Location Phone
- (972) 436-7571
- Location Fax
- (972) 221-4187
- Mailing Address
- 169 LAKE PARK RD LEWISVILLE, TX 75057
- Mailing Phone
- (972) 436-7571
- Mailing Fax
- (972) 221-4187
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-17-2006
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 113275
- License State
- TX
- Taxonomy Description
- (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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D0673678
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- November 04, 2025
- Certificate Expiration Date
- November 03, 2027
- Laboratory Director
- MIGUEL HERNANDEZ
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Lake Village Nursing & Rehab to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for LAKE VILLAGE NURSING & REHAB
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922088970, enumerated as an "organization" on January 17, 2006.
The provider is located at 169 LAKE PARK RD LEWISVILLE, TX 75057 and the phone number is (972) 436-7571.
Skilled Nursing Facility with taxonomy code 314000000X.
