OrganizationActive
Lakeside Nursing Home, Inc
NPI 1053535617 · Skilled Nursing Facility · Ithaca, NY
Lakeside Nursing Home, Inc is a Skilled Nursing Facility organization in Ithaca, NY (NPI 1053535617).
Provider details
- NPI number
- 1053535617
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Patrick Deptula, Administrator(607) 273-8072
- License
- 5401307N (NY)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1229 Trumansburg Road
Ithaca, NY 14850-1313
Phone: (607) 273-8072
Fax: (607) 273-0373
Street-level locationGet directions
Mailing address
1229 Trumansburg Rd
Ithaca, NY 14850-1313
Registry dates
- Enumerated
- 2007-04-12
- Last updated
- 2020-08-22
Frequently asked questions
- What is Lakeside Nursing Home, Inc's NPI number?
- Lakeside Nursing Home, Inc's National Provider Identifier (NPI) is 1053535617, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Nursing Home, Inc?
- Lakeside Nursing Home, Inc is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Lakeside Nursing Home, Inc located?
- Lakeside Nursing Home, Inc's practice location on file with NPPES is 1229 Trumansburg Road, Ithaca, NY 14850-1313.
- What is Lakeside Nursing Home, Inc's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Nursing Home, Inc is (607) 273-8072.
- Who is the authorized official for Lakeside Nursing Home, Inc?
- The authorized official listed on Lakeside Nursing Home, Inc's NPPES record is Patrick Deptula, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Nursing Home, Inc's NPI active?
- Yes — Lakeside Nursing Home, Inc's NPI (1053535617) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.