OrganizationActive
Vsl Lake City LLC
NPI 1174053771 · Skilled Nursing Facility · Lake City, IA
Vsl Lake City LLC is a Skilled Nursing Facility organization in Lake City, IA (NPI 1174053771).
Provider details
- NPI number
- 1174053771
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jack Vetter, Ceo(402) 895-3932
- License
- 130137 (IA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
1409 W Main St
Lake City, IA 51449-1578
Phone: (712) 464-3106
Fax: (712) 464-8042
Street-level locationGet directions
Mailing address
20220 Harney St
Elkhorn, NE 68022-2063
Other names (DBA / former)
- Doing business as
- Shady Oaks
- Doing business as
- Shady Oaks
Registry dates
- Enumerated
- 2017-06-15
- Last updated
- 2017-06-15
Frequently asked questions
- What is Vsl Lake City LLC's NPI number?
- Vsl Lake City LLC's National Provider Identifier (NPI) is 1174053771, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vsl Lake City LLC?
- Vsl Lake City LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Vsl Lake City LLC located?
- Vsl Lake City LLC's practice location on file with NPPES is 1409 W Main St, Lake City, IA 51449-1578.
- What is Vsl Lake City LLC's phone number?
- The practice phone number listed in the NPPES registry for Vsl Lake City LLC is (712) 464-3106.
- Who is the authorized official for Vsl Lake City LLC?
- The authorized official listed on Vsl Lake City LLC's NPPES record is Jack Vetter, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vsl Lake City LLC's NPI active?
- Yes — Vsl Lake City LLC's NPI (1174053771) is active in the NPPES registry as of the last update on 2017-06-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.