# LAKESHORE ESTATES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lakeshore Heartland
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093720757
- **Authorized official:** MR. DAVID A SCIORTINO SR. (PRESIDENT)
- **Authorized official phone:** (615) 646-4466

## Contact information

- **Practice address:** 3025 FERNBROOK LN, NASHVILLE, TN 37214-1623
- **Practice address phone:** (615) 885-2320
- **Practice address fax:** (615) 885-3439
- **Mailing address:** 3025 FERNBROOK LN, NASHVILLE, TN 37214-1623
- **Mailing address phone:** (615) 885-2320
- **Mailing address fax:** (615) 885-3439

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 396 | TN | — |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 56 | TN | — |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 05/23/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7440581 | — | TN |