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

Lakeside Nursing Home, Inc

Organization Skilled Nursing Facility · NPI 1053535617

Lakeside Nursing Home, Inc is a Skilled Nursing Facility in Ithaca, New York. Medicare rates this nursing home 2 out of 5. Licensed in New York.

CMS rating
2 of 5
Licensed in
NY
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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CMS quality rating

2 out of 5 — official nursing home rating from CMS Care Compare (CCN 335249)
Health inspection2.0 / 5
Staffing2.0 / 5
Quality measures3.0 / 5
OwnershipFor profit - Limited Liability company

Practice location Address checks out

1229 Trumansburg Rd
Ithaca, NY 14850-1313
Phone: (607) 273-8072
Fax: (607) 273-0373
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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 · Licence 5401307N (NY)

Record details

NPI number1053535617
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patrick Deptula — Administrator · (607) 273-8072
NPI enumeratedApril 12, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1229 Trumansburg Rd, Ithaca, NY 14850-1313

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