LA
LAKEBRIDGE A WATERS COMMUNITY LLC
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
JOHNSON CITY, TN
Licensed since
2016
Rate
—
Federal compliance record
Total fines$0
Payment denials / penalties0
Abuse flagNone on record
Federal identifiers
NPI registry number1043763592
CMS Certification Number (CCN)445358
Agency details
Avg residents / day105.3
OwnershipFor profit - Individual
Chain affiliationINFINITY HEALTHCARE CONSULTING
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameMOISHE GUBIN
TitleMEMBER
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