Reliant Lakeside Holdings LLC
NPI 1124385000 · Skilled Nursing Facility · Dallas, PA
Reliant Lakeside Holdings LLC is a Skilled Nursing Facility organization in Dallas, PA (NPI 1124385000).
Provider details
- NPI number
- 1124385000
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Marc Myzal, Coo(215) 558-3700
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
Mailing address
Other names (DBA / former)
- Doing business as
- Lakeside Health and Rehabilitation Center
Registry dates
- Enumerated
- 2012-04-18
- Last updated
- 2012-04-18
Frequently asked questions
- What is Reliant Lakeside Holdings LLC's NPI number?
- Reliant Lakeside Holdings LLC's National Provider Identifier (NPI) is 1124385000, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Reliant Lakeside Holdings LLC?
- Reliant Lakeside Holdings LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Reliant Lakeside Holdings LLC located?
- Reliant Lakeside Holdings LLC's practice location on file with NPPES is Rr 4 Box 357, Dallas, PA 18612-9236.
- What is Reliant Lakeside Holdings LLC's phone number?
- The practice phone number listed in the NPPES registry for Reliant Lakeside Holdings LLC is (570) 639-1885.
- Who is the authorized official for Reliant Lakeside Holdings LLC?
- The authorized official listed on Reliant Lakeside Holdings LLC's NPPES record is Marc Myzal, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Reliant Lakeside Holdings LLC's NPI active?
- Yes — Reliant Lakeside Holdings LLC's NPI (1124385000) is active in the NPPES registry as of the last update on 2012-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.