Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lakebridge a Waters Community LLC

Organization Skilled Nursing Facility · NPI 1043763592

Lakebridge a Waters Community LLC is a Skilled Nursing Facility in Johnson City, Tennessee. Medicare rates this nursing home 3 out of 5. Registered with an NPI since 2016.

CMS rating
3 of 5
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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CMS quality rating

3 out of 5 — official nursing home rating from CMS Care Compare (CCN 445358)
Health inspection4.0 / 5
Staffing1.0 / 5
Quality measures4.0 / 5
OwnershipFor profit - Individual

Practice location Address checks out

115 Woodlawn Dr
Johnson City, TN 37604-5978
Phone: (423) 975-0095
Fax: (423) 928-0358
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1043763592
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Moishe Gubin — Member · (708) 449-1900
NPI enumeratedAugust 2, 2016
Last updated in NPPESAugust 2, 2016
Mailing address115 Woodlawn Dr, Johnson City, TN 37604-5978

Other providers in Johnson City