THE HEALTH CENTER OF LAKE CITY, INC. (NPI# 1487663258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487663258 |
| Entity Type | Organization |
| Organization Name | THE HEALTH CENTER OF LAKE CITY, INC. |
| Practice Address |
560 Sw Mcfarlane Ave Lake City FL 32025-5614 |
| Practice Telephone | 9047584777 |
| Mailing Telephone | 9047584777 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | STEVE STRAWN (DIRECTOR) |
| Authorized Official Telephone | 6152172324 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | SNF1417096 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FOCUS HEALTHCARE | 986853 | 01 |
| FL | BCBS | K7V | 01 |
| FL | AETNA | 7589306 | 01 |
| FL | AVMED | 101968 | 01 |
| FL | WELLCARE/STAYWELL | 163468 | 01 |
| FL | UNITED HEALTHCARE | 71-00011 | 01 |
| Street Address |
560 SW MCFARLANE AVE |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32025-5614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619583689 | Wiley Grantham Iv | Physical Therapy Assistant | 560 Sw Mcfarlane Ave, Lake City, FL 32025-5614 | 2020-09-16 |
| 1124641873 | Stephanie Zwicker | Physical Therapist | 560 Sw Mcfarlane Ave, Lake City, FL 32025-5614 | 2020-05-28 |
| 1669009304 | Jose L Ayala Jr. | Physical Therapy Assistant | 560 Sw Mcfarlane Ave, Lake City, FL 32025-5614 | 2020-03-24 |
| 1023642956 | Brittany Creech Thompson | Occupational Therapy Assistant | 560 Sw Mcfarlane Ave, Lake City, FL 32025-5614 | 2020-03-01 |
| 1760037204 | Victoria Connor | Physical Therapist | 560 Sw Mcfarlane Ave, Lake City, FL 32025-5614 | 2019-08-01 |
| 1245897230 | Taisha D Brown | Occupational Therapist | 560 Sw Mcfarlane Ave, Lake City, FL 32025-5614 | 2019-05-24 |
| 1851858393 | Nancy Pierre | Occupational Therapy Assistant | 560 Sw Mcfarlane Ave, Lake City, FL 32025-5614 | 2019-02-20 |
| 1336616440 | Taylor Brooke Clayton | Physical Therapy Assistant | 560 Sw Mcfarlane Ave, Lake City, FL 32025-5614 | 2018-10-26 |
| 1578039772 | Alec Blanco | Physical Therapy Assistant | 560 Sw Mcfarlane Ave, Lake City, FL 32025-5614 | 2018-10-16 |
| 1780168096 | Shannon Lynch | Physical Therapy Assistant | 560 Sw Mcfarlane Ave, Lake City, FL 32025-5614 | 2018-09-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801438353 | Jennifer Bennett | Pharmacist | 347 Sw Main Blvd Suite 102, Lake City, FL 32025 | 2019-10-16 |
| 1700352838 | Robert J Sansouci IIi IIi | Physical Therapy Assistant | 560 Sw Mcfarlane Ave, Lake City, Fl, 32025, Lake City, FL 32025 | 2018-10-16 |
| 1316442783 | Emily Bailey | Developmental Therapist | 2126 Sw Sisters Welcome Rd, Lake City, FL 32025 | 2018-03-28 |
| 1811446370 | Michelle Hart | Behavioral Analyst | 260 S. Marion Avenue, Bldg. A, Suite 135, Lake City, FL 32025 | 2016-09-26 |
| 1922467646 | Irene Aponte Moreno | Nurse Practitioner | 440 Sw Perimeter Glen, Lake City, FL 32025 | 2016-02-23 |
| 1093186777 | Decarlos Scippio | Counselor | 619 Sw Baya Drive Suite 102, Lake City, FL 32025 | 2015-10-07 |
| 1497132476 | Jamecia Legree | Registered Nurse | 800 Sw Symphony Loop, Bldg 15 Apt 204, Lake City, FL 32025 | 2015-04-29 |
| 1306249149 | Mercy Home Assisted Living Facility LLC | Assisted Living Facility | 184 S.e. Beech Street, Lake City, FL 32025 | 2014-10-08 |
| 1598174344 | Karen Mcdonald | Developmental Therapist | 4523 Se County Road 252, Lake City, FL 32025 | 2014-08-06 |
| 1275944126 | Mohammad Ali Faisal Mdpa | Specialist | 1283 Sw State Rd 47, Ste 104, Lake City, FL 32025 | 2014-05-14 |
| Find all providers in zip 32025 | ||||
| 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 |
|---|---|---|---|---|
| 1083170534 | Sf Brevard, LLC | Skilled Nursing Facility | 298 Sw Prosperity Place, Lake City, FL 32024 | 2019-02-20 |
| 1447733480 | Chc Lakeside Nursing Center, LLC | Skilled Nursing Facility | 1207 Willow Run St, Lake City, AR 72437-9520 | 2018-09-14 |
| 1871611889 | Lake City Adult Day Care, Inc. | Skilled Nursing Facility | 122 S Acline St, Lake City, SC 29560-2633 | 2007-03-27 |
| 1134278203 | Osprey of North Florida, Inc. | Skilled Nursing Facility | 587 Se Ermine Ave, Lake City, FL 32025-6126 | 2007-01-09 |
| 1053420729 | Lake City Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 2055 Rex Rd, Lake City, GA 30260-3944 | 2006-08-29 |
| 1962510859 | Manor of Lake City, Inc | Skilled Nursing Facility | 1409 W Main St, Lake City, IA 51449-1578 | 2006-08-29 |
| 1164431003 | Summit View of Lake City, LLC | Skilled Nursing Facility | 204 Industrial Park Ln, Lake City, TN 37769-2301 | 2006-08-07 |
| 1598733487 | Rural Business, Inc | Skilled Nursing Facility | 56 Genesis Dr, Lake City, SC 29560-5531 | 2006-03-08 |
| 1750365706 | Lake City Mgt LLC | Skilled Nursing Facility | 1270 Sw Main Blvd, Lake City, FL 32025-6684 | 2005-12-02 |
| 1518953892 | Lakeside Nursing and Rehabilitation Center, Inc. | Skilled Nursing Facility | 1207 Willow Run Road, Lake City, AR 72437-0578 | 2005-09-22 |
| Find all providers in LAKE CITY | ||||
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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.