Lakeside Mountain Manor Opco LLC
NPI 1396674503ActiveOrganization· Custodial Care Facility· Forsyth, MO
Custodial Care Facility in Forsyth, Missouri, registered in NPPES in May 2026. The authorized official on file is Mark Hastings, Owner.
Overview
| NPI | 1396674503 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 14, 2026 |
| Last updated in NPPES | May 14, 2026 |
| Certified by provider | May 14, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Custodial Care Facility Primary | 311Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|