OrganizationActive
Lakeside Senior Care LLC
NPI 1902040223 · Skilled Nursing Facility · Lubbock, TX
Lakeside Senior Care LLC is a Skilled Nursing Facility organization in Lubbock, TX (NPI 1902040223).
Provider details
- NPI number
- 1902040223
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Keri Powell, President(806) 793-2555
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
4306 24th St
Lubbock, TX 79410-1818
Phone: (806) 793-2555
Street-level locationGet directions
Mailing address
930 Ridgebrook Rd
Sparks, MD 21152-9390
Other names (DBA / former)
- Doing business as
- Lakeside Rehabilitation and Care Center
Registry dates
- Enumerated
- 2009-04-30
- Last updated
- 2009-04-30
Frequently asked questions
- What is Lakeside Senior Care LLC's NPI number?
- Lakeside Senior Care LLC's National Provider Identifier (NPI) is 1902040223, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Senior Care LLC?
- Lakeside Senior Care LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Lakeside Senior Care LLC located?
- Lakeside Senior Care LLC's practice location on file with NPPES is 4306 24th St, Lubbock, TX 79410-1818.
- What is Lakeside Senior Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Senior Care LLC is (806) 793-2555.
- Who is the authorized official for Lakeside Senior Care LLC?
- The authorized official listed on Lakeside Senior Care LLC's NPPES record is Keri Powell, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Senior Care LLC's NPI active?
- Yes — Lakeside Senior Care LLC's NPI (1902040223) is active in the NPPES registry as of the last update on 2009-04-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.