OrganizationActive
Lakeshore Assisted Living LLC
NPI 1033856166 · Assisted Living Facility · Waseca, MN
Provider details
- NPI number
- 1033856166
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Ian Rekant, Vp of Rcm(507) 203-1031
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
105 8th St Nw
Waseca, MN 56093-1907
Phone: (507) 625-8741
Street-level locationGet directions
Mailing address
638 Southbend Ave
Mankato, MN 56001-2168
Registry dates
- Enumerated
- 2022-05-19
- Last updated
- 2022-09-13
- Certified
- 2022-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.