SF LAKE PLACID LLC (NPI# 1427217637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427217637 |
Entity Type | Organization |
Organization Name | SF LAKE PLACID LLC |
Other Organization Name | LAKE PLACID HEALTH AND REHABILITATION CENTER |
Practice Address |
125 Tomoka Blvd S Lake Placid FL 33852-8123 |
Mailing Address |
40 South Palafox Place Suite 400 Pensacola FL 32502-5967 |
Practice Telephone | 8634657200 |
Enumeration Date | 2008-06-03 |
Last Update Date | 2015-10-05 |
Authorized Official Name | JAMES RICHARDSON (PRESIDENT) |
Authorized Official Telephone | 8504300000 |
Is Organization Subpart | Y |
Parent Organization Name | FLORIDA FACILITIES LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Lake Placid Health and Rehabilitation Center | Doing Business As Name - Organization |
Street Address |
125 TOMOKA BLVD S |
City | LAKE PLACID |
State | FL |
Zip Code | 33852-8123 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982696712 | Delta Health Group Inc | Skilled Nursing Facility | 125 Tomoka Blvd S, Lake Placid, FL 33852-8123 | 2005-08-18 |
1710599014 | Lake Placid Operations LLC | Skilled Nursing Facility | 125 Tomoka Blvd S, Lake Placid, FL 33852-8123 | 2020-08-18 |
1538778964 | Tara Kathryn Lundmark | Speech-Language Pathologist | 125 Tomoka Blvd S, Lake Placid, FL 33852-8123 | 2020-07-31 |
1104479682 | Stephanie Seidl | Physical Therapy Assistant | 125 Tomoka Blvd S, Lake Placid, FL 33852-8123 | 2019-07-23 |
1972073492 | Myleishka Marie Santos Echevarria | Speech-Language Pathologist | 125 Tomoka Blvd S, Lake Placid, FL 33852-8123 | 2018-11-27 |
1447734553 | Sheila Marie Susana Ebol | Physical Therapist | 125 Tomoka Blvd S, Lake Placid, FL 33852-8123 | 2018-09-24 |
1740773217 | Antonio Peterson | Speech-Language Pathologist | 125 Tomoka Blvd S, Lake Placid, FL 33852-8123 | 2018-06-11 |
1881109569 | Mary Katie Martinez | Occupational Therapy Assistant | 125 Tomoka Blvd S, Lake Placid, FL 33852-8123 | 2017-12-04 |
1518304328 | Cocel Ann Frivaldo Moraga | Physical Therapist | 125 Tomoka Blvd S, Lake Placid, FL 33852-8123 | 2013-06-03 |
1295904803 | Jennifer Awad | Occupational Therapist | 125 Tomoka Blvd S, Lake Placid, FL 33852-8123 | 2008-02-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346728763 | Eduardo Enrique Florez | Behavior Technician | 621 S Sun N Lakes Blvd, Lake Placid, FL 33852 | 2018-07-30 |
1841738051 | Halcyon Rehabilitation, LLC | Clinic/Center | 1297 Us-27, Lake Placid, FL 33852 | 2017-02-08 |
1386014009 | Randolph Giller | Hearing Instrument Specialist | 403 E. Interlake Blvd., Lake Placid, FL 33852 | 2015-10-07 |
1275918369 | Toyeca Robinson | Technician, Other | 448 Lake Gloria Dr, Lake Placid, FL 33852 | 2015-07-30 |
1720422405 | Nic 4 Balmoral Leasing LLC | Assisted Living Facility | 93 Balmoral Drive, Lake Placid, FL 33852 | 2013-04-24 |
1720036908 | Stephanie Delbert | Nurse Practitioner | 13 N Main Ave, Lake Placid, FL 33852 | 2006-05-04 |
1821084013 | Eladio Lao | Anesthesiology | 1012 Hwy 27 N, Lake Placid, FL 33852 | 2005-09-22 |
1699204693 | Stephaniedelbert,arnp,inc | Nurse Practitioner | 13 N Main Ave, Lake Placid, FL 33852 | 2017-06-05 |
1639228398 | James Edward Oxer | Dentist | 408 W Interlake Blvd, Lake Placid, FL 33852-0700 | 2007-01-10 |
1093293847 | Thomas Veronee | Dentist | 408 W Interlake Blvd, Lake Placid, FL 33852-0700 | 2018-08-03 |
Find all providers in zip 33852 |
Taxonomy Code | 314000000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Skilled Nursing Facility |
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982696712 | Delta Health Group Inc | Skilled Nursing Facility | 125 Tomoka Blvd S, Lake Placid, FL 33852-8123 | 2005-08-18 |
1710599014 | Lake Placid Operations LLC | Skilled Nursing Facility | 125 Tomoka Blvd S, Lake Placid, FL 33852-8123 | 2020-08-18 |
1003295411 | 185 Old Military Road Operating Company, LLC | Skilled Nursing Facility | 185 Old Military Rd, Lake Placid, NY 12946-1939 | 2015-05-19 |
1538179809 | Adirondack Medical Center | Skilled Nursing Facility | 185 Old Military Rd, Lake Placid, NY 12946-1939 | 2006-08-09 |
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---|---|---|---|---|
1306444708 | Center for Comprehensive Services, Inc. | Skilled Nursing Facility | 2411 Clement Rd, Lutz, FL 33549-5552 | 2020-10-16 |
1114530227 | Jupiter Rehab and Health Center LLC | Skilled Nursing Facility | 650 Pioneer Rd # 5, Jupiter, FL 33458-8834 | 2020-08-28 |
1821601089 | Wellington Rehab and Health Center, LLC | Skilled Nursing Facility | 10330 Nu Vista Ave, Wellington, FL 33414 | 2020-08-27 |
1043822349 | Oaks of Kissimmee Operations LLC | Skilled Nursing Facility | 320 N. Mitchell St, Kissimmee, FL 34741-4447 | 2020-08-18 |
1720690027 | Brynwood Operations LLC | Skilled Nursing Facility | 1656 S Jefferson St, Monticello, FL 32344-1652 | 2020-08-18 |
1326668120 | Key West Nursing Home Propco LLC | Skilled Nursing Facility | 5860 College Road, Key West, FL 33040 | 2020-04-21 |
1740800655 | Javara Troupe | Skilled Nursing Facility | 10043 Victory Gallop Loop, Ruskin, FL 33573-6744 | 2020-04-21 |
1578199303 | First Coast Health Ventures, LLC | Skilled Nursing Facility | 15480 Max Leggett Parkway, Jacksonville, FL 32218 | 2020-03-12 |
1053944116 | Pruitthealth - Southwood, LLC | Skilled Nursing Facility | 2301 Bluff Oak Way, Tallahassee, FL 32311-6161 | 2020-02-18 |
1992336895 | Dolphin Pointe Health Care, LLC | Skilled Nursing Facility | 5355 Dolphin Point Rd., Jacksonville, FL 32211 | 2020-01-29 |
Find all providers with the same taxonomy |
City | LAKE PLACID |
Zip Code | 33852 |
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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.