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

Lakeside Mountain Manor Opco LLC

Organization Custodial Care Facility · NPI 1396674503

Lakeside Mountain Manor Opco LLC is a Custodial Care Facility in Forsyth, Missouri. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

238 Harmony Hts
Forsyth, MO 65653-5533
Phone: (417) 546-5595
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Custodial Care Facility (primary) Taxonomy 311Z00000X

Record details

NPI number1396674503
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Hastings — Owner · (417) 399-3819
Other names Lakeside Mountain Manor
NPI enumeratedMay 14, 2026
Last updated in NPPESMay 14, 2026
Certification dateMay 14, 2026
Mailing address401 Nw 10th St, Blue Springs, MO 64015-3749