LAKEWOOD PLACE LLC NPI 1720865165

NPI Information

  • NPI: 1720865165
  • Provider Name: LAKEWOOD PLACE, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • CLIA Number: 44D2108247
  • Address: 1125 GROVE STREET
    LOUDON, TN
    ZIP 37774
  • Phone: (865) 458-4123

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NPI Details

LAKEWOOD PLACE, LLC is an assisted living facility in Loudon, TN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. LAKEWOOD PLACE, LLC NPI is 1720865165. The provider is registered as an organization entity type.

The provider's business location address is:

1125 GROVE STREET
LOUDON, TN
ZIP 37774
Phone: (865) 458-4123
Fax: (865) 458-0960

The provider's authorized official is Christina Landis Trentham .
The authorized official title is Executive Yp Of Operations & Clinic and has the following contact phone number (865) 293-6563.

The CLIA number assigned to this NPI record is 44D2108247 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/11/2023 and was last updated on 9/11/2023.

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
1310400000XAssisted Living FacilityYes

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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