CCN: 455903 NPI: 1194324368 Organization

LAKE LODGE NURSING & REHABILITATION

3800 MARINA DR
LAKE WORTH, TX 761352835

Contact Information

Phone 8172377231
Fax 8172375086
Enumeration Date 2020-10-20
Last Updated 2024-11-19

Taxonomies

Code: 314000000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 38

caseMixIndex 1.0

vbpAdjustment 0.9862495594

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 38

caseMixIndex 1.0

vbpAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 38

caseMixIndex 1.0

vbpAdjustment 0.9802538758

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 38

caseMixIndex 1.0

vbpAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 38

caseMixIndex 1.0

vbpAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 38

caseMixIndex 1.0

vbpAdjustment 0.9840170533

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 38

caseMixIndex 1.0

vbpAdjustment 0.9803449243

censusDivision 7

cbsaActualGeographicLocation 23104

providerType 38

caseMixIndex 1.0

vbpAdjustment 0.9818781498

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 23104

providerType 38

carrierCode 04412

localityCode 28

LAKE LODGE NURSING & REHABILITATION

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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