OrganizationActiveAccepts Medicare
Lakewood Health System
NPI 1922099092 · Community Based Hospice Care Agency · Staples, MN
Enrolled with Medicare as Part a Provider - Hospice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1922099092
- Entity type
- Organization
- Primary specialty
- Community Based Hospice Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Joseph Reycraft, Cfo(218) 894-8194
- License
- 376567 (MN)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
401 Prairie Ave Ne
Staples, MN 56479-3201
Phone: (218) 894-1515
Fax: (218) 898-7596
Street-level locationGet directions
Mailing address
401 Prairie Ave Ne
Staples, MN 56479-3201
Other names (DBA / former)
- Other name
- Lakewood Health System Hospice
Registry dates
- Enumerated
- 2005-10-28
- Last updated
- 2025-06-09
- Certified
- 2025-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.