LAKESIDE TERRACE NPI 1124095534

NPI Information

  • NPI: 1124095534
  • Provider Name: LAKESIDE TERRACE
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • CLIA Number: 17D2199937
  • Address: 1100 HARRISON
    SABETHA, KS
    ZIP 66534
  • Phone: (785) 284-3471

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NPI Details

LAKESIDE TERRACE is an intermediate care facility mentally retarded in Sabetha, KS. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. LAKESIDE TERRACE NPI is 1124095534. The provider is registered as an organization entity type.

The provider's business location address is:

1100 HARRISON
SABETHA, KS
ZIP 66534
Phone: (785) 284-3471
Fax: (785) 284-3697

The provider's authorized official is Ed J Strahm .
The authorized official title is Administrator and has the following contact phone number (785) 284-3471.

The CLIA number assigned to this NPI record is 17D2199937 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/3/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1315P00000XIntermediate Care Facility, Intellectual DisabilitiesN066007KANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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