LAKELAND VILLAGE NURSING FACILITY
NPI 1780734509
Nursing Facility/Intermediate Care Facility in Medical Lake, WA

NPI Status: Active since January 12, 2007

Contact Information

S 2320 SALNAVE ROAD
MEDICAL LAKE, WA
ZIP 99022
Phone: (509) 299-1989
Fax: (509) 299-1070

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About LAKELAND VILLAGE NURSING FACILITY

This page provides the complete NPI Profile along with additional information for Lakeland Village Nursing Facility, a provider established in Medical Lake, Washington operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1780734509 assigned on January 2007. The practitioner's primary taxonomy code is 313M00000X with license number 00L020 (WA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mr. Steven Earl Kellen Lnha (Assistant Superintendent)

NPI
1780734509
Provider Name
LAKELAND VILLAGE NURSING FACILITY
Entity Type
Organization
Location Address
S 2320 SALNAVE ROAD MEDICAL LAKE, WA 99022
Location Phone
(509) 299-1989
Location Fax
(509) 299-1070
Mailing Address
PO BOX 200 MEDICAL LAKE, WA 99022
Mailing Phone
(509) 299-1989
Mailing Fax
(509) 299-1070
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-12-2007
Last Update Date
06-20-2008
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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

Nursing Facility/Intermediate Care Facility

Taxonomy Code
313M00000X
Type
Nursing & Custodial Care Facilities
License No.
00L020
License State
WA
Taxonomy Description
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. STEVEN EARL KELLEN LNHA

Authorized Official Title
ASSISTANT SUPERINTENDENT
Authorized Official Phone
(509) 299-1989

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1780734509
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27160143850
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 6 + 0 + 1 + 4 + 3 + 8 + 5 + 0 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1780734509 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366594228LAKELAND VILLAGE
Organization
Intermediate Care Facility, Intellectual DisabilitiesS 2320 SALNAVE ROAD
MEDICAL LAKE, WA 99022
(509) 299-1001
1457414138WASHINGTON STATE DEPT OF SOCIAL AND HEALTH SERVICES
Organization
Pharmacy (Long Term Care Pharmacy)S 2320 SALNAVE ROAD
MEDICAL LAKE, WA 99022
(509) 299-1948

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780734509, enumerated in the NPI registry as an "organization" on January 12, 2007

The provider is located at S 2320 Salnave Road Medical Lake, Wa 99022 and the phone number is (509) 299-1989

This medical organization specializes in Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X

This NPI record was last updated on January 12, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.