SH LAKE HOWARD, LLC


Address: 650 N Lake Howard Dr, Winter Haven, FL 33881-3162
Phone: 8632933171

SH LAKE HOWARD, LLC (NPI# 1215591144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215591144
Entity Type Organization
Organization Name SH LAKE HOWARD, LLC
Practice Address 650 N Lake Howard Dr
Winter Haven
FL 33881-3162
Mailing Address 2573 Barrington Cir
Tallahassee
FL 32308-6805
Practice Telephone 8632933171
Enumeration Date 2019-04-25
Last Update Date 2020-02-26
Authorized Official Name SETH WALKER (CFO, SRI MANAGEMENT, LLC)
Authorized Official Telephone 8505837990
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
FL 103042200 05

Office Location

Street Address 650 N LAKE HOWARD DR
City WINTER HAVEN
State FL
Zip Code 33881-3162

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104946631 Christine Newelski Occupational Therapist 650 N Lake Howard Dr, Winter Haven, FL 33881-3162 2007-03-29
1023429461 Genesis Eldercare Rehabilitation Services LLC Clinic/Center 650 N Lake Howard Dr, C/o Lake Howard Heights, Winter Haven, FL 33881-3162 2014-05-19
1780967323 Ektaben Gopalbhai Dobariya Physical Therapist 650 N Lake Howard Dr, Winter Haven, FL 33881-3162 2011-09-20
1114243458 Tanise Fenelon Physical Therapist 650 N Lake Howard Dr, Winter Haven, FL 33881-3162 2010-04-12
1144453531 Pranav Navinchandra Trivedi Physical Therapist 650 N Lake Howard Dr, Winter Haven, FL 33881-3162 2009-09-01
1326246745 William Carlton Occupational Therapy Assistant 650 N Lake Howard Dr, Winter Haven, FL 33881-3162 2007-07-06
1356550198 Sl Lake Howard Heights, LLC Assisted Living Facility 650 N Lake Howard Dr, Winter Haven, FL 33881-3162 2007-05-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114534476 Ctc's Heart of Caring, Inc In Home Supportive Care 2995 Eagle Nest View Drive, Winter Haven, FL 33881 2020-09-29
1356813869 Michael Thomas Wiernicki Dentist 1074 Spring Lake Plaza, Winter Haven, FL 33881 2018-12-21
1659862423 Patricia Pelt Social Worker 3073 Buckeye Point Dr, Winter Haven, FL 33881 2018-05-28
1952891244 Ansley Health LLC Home Health 1502 6th Ct Ne, Winter Haven, FL 33881 2018-05-14
1346699261 Yovanka Zapata Specialist/Technologist, Other 5856 Windrigde Dr., Winter Haven, FL 33881 2016-06-10
1720415599 Villa Pharmacy LLC Pharmacy 105 Avenue R Nw, Winter Haven, FL 33881 2013-10-10
1992149397 Nic 5 Spring Haven Leasing LLC Assisted Living Facility 1225 Nw Havendale Boulevard, Winter Haven, FL 33881 2013-04-29
1780938225 Penelope Sturdevant Nurse Practitioner 2791 Lake Alfred Rd., Winter Haven, FL 33881 2012-11-06
1649548165 Tim R Acree Non-emergency Medical Transport (VAN) 2 Eagles Nest, Winter Haven, FL 33881 2011-12-12
1285899419 Adjustment and Awareness Counseling Community/Behavioral Health 243 3rd St Nw, Winter Haven, FL 33881 2008-07-28
Find all providers in zip 33881

Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245761162 Melissa Davis Assisted Living Facility 4364 Diamond Rd, Winter Haven, FL 33880-1502 2017-03-22
1336688258 Ambitious Quality Care Assisted Living Assisted Living Facility 3939 Country Pl Apt C, Winter Haven, FL 33880-1519 2017-02-13
1023424405 Autumn Breeze Assisted Living Facility Inc Assisted Living Facility 904 Lake Martha Dr Ne, Winter Haven, FL 33881-4278 2014-07-07
1992149397 Nic 5 Spring Haven Leasing LLC Assisted Living Facility 1225 Nw Havendale Boulevard, Winter Haven, FL 33881 2013-04-29
1871863787 Kapaali Holdings LLC Assisted Living Facility 2275 8th St Nw, Suite #114, Winter Haven, FL 33881-1331 2012-01-09
1730474420 Successful Ambitions Assisted Living Facility 3939 Country Place Unit C, Winter Haven, FL 33880 2011-06-10
1972805364 Brookdale Senior Living Communities, Inc. Assisted Living Facility 6110 Cypress Gardens Blvd, Winter Haven, FL 33884-4150 2010-11-17
1366603243 Liberty Assisted Living Assisted Living Facility 5890 Cypress Gardens Blvd, Winter Haven, FL 33884-2274 2008-06-23
1891910337 Omnia Cum Deo Corp Assisted Living Facility 2100 State Road 540 W, Winter Haven, FL 33880-1768 2007-04-17
1851998256 Miss K's Enrichment Center Inc Dba Campbell's Landing Assisted Living Assisted Living Facility 904 Lake Martha Dr Ne, Winter Haven, FL 33881-4278 2020-10-08
Find all providers in WINTER HAVEN

Competitor

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City WINTER HAVEN
Zip Code 33881

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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