NPI
Lakeside Nursing Home, Inc
NPI 1053535617
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2007-04-12
- Last updated
- 2020-08-22
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Specialties
Licenses
- License NY
- 5401307N
Location
- Practice location
- 1229 Trumansburg Road
- City
- Ithaca NY
- Postal code
- 14850-1313
- Phone
- (607) 273-8072
Organization contact
- Name
- Patrick Deptula
- Title
- Administrator
- Phone
- (607) 273-8072
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Ithaca, NY. 2,542 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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