FLORIDA PRESBYTERIAN HOMES, INC. (NPI# 1609869825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609869825 |
| Entity Type | Organization |
| Organization Name | FLORIDA PRESBYTERIAN HOMES, INC. |
| Practice Address |
909 S Lakeside Ave Lakeland FL 33803-1031 |
| Mailing Address |
16 Lake Hunter Dr Lakeland FL 33803-1297 |
| Practice Telephone | 8636885521 |
| Practice Fax Number | 8636874088 |
| Mailing Telephone | 8636885521 |
| Mailing Fax Number | 8636874088 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. KYM HARRIS (ADMINISTRATOR) |
| Authorized Official Telephone | 8636885521 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | FL | Nursing & Custodial Care Facilities |
| Street Address |
909 S LAKESIDE AVE |
| City | LAKELAND |
| State | FL |
| Zip Code | 33803-1031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861964819 | Steven P Agelidis | Counselor | 2020 S. Florida Ave, Suite 207, Lakeland, FL 33803 | 2018-12-31 |
| 1902316201 | Kesara Mai Ngam | Massage Therapist | 117 West Oak Drive, Lakeland, FL 33803 | 2017-10-02 |
| 1396260618 | Suncoast Behavioral Solutions, LLC | Behavioral Analyst | 1920 E Edgewood Dr Apt A8, Lakeland, FL 33803 | 2017-08-08 |
| 1316484413 | Daniel Jacob Stahl | Behavior Technician | 145 East Edgewood Drive, Lakeland, FL 33803 | 2017-01-26 |
| 1780037002 | Shelley Stettinius | Behavioral Analyst | 145 East Edgewood Dr, Lakeland, FL 33803 | 2016-07-21 |
| 1396106654 | Highlands Occupational Therapy, Inc | Occupational Therapist | 2000 East Edgewood Drive, Suite 114, Lakeland, FL 33803 | 2016-03-15 |
| 1003289570 | Jayna Dinsmore | Physical Therapy Assistant | 321 Imperial Blvd, D38, Lakeland, FL 33803 | 2015-11-05 |
| 1093187429 | Healthstat Wellness Polk-lakeland | Preventive Medicine | 3215 Winter Lake Road, Lakeland, FL 33803 | 2015-10-26 |
| 1962812545 | Florida Presbyterian Homes, Inc | Nursing Facility/Intermediate Care Facility | 901 Lakeside Avenue, Lakeland, FL 33803 | 2014-05-05 |
| 1710316336 | Trinity Endodontics | Health Maintenance Organization | 1602 S. Florida Ave, Ste #1, Lakeland, FL 33803 | 2013-11-04 |
| Find all providers in zip 33803 | ||||
| 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 |
|---|---|---|---|---|
| 1912465923 | Lakeland Oaks Nh LLC | Skilled Nursing Facility | 855 Carpenters Way, Lakeland, FL 33809 | 2019-03-08 |
| 1710490966 | Lakeland Snf Investors LLC | Skilled Nursing Facility | 800 E County Road 540a, Lakeland, FL 33813-4650 | 2017-11-09 |
| 1396147237 | Lamisha Williams | Skilled Nursing Facility | 744 Park Hill Ave, Lakeland, FL 33801-5533 | 2014-09-23 |
| 1043619471 | Lorraine Stocki | Skilled Nursing Facility | 1350 Sleepy Hill Rd Fl 33810, Lakeland, FL 33810-3800 | 2014-08-21 |
| 1508105958 | Stella Goff | Skilled Nursing Facility | 4435 Galloway Ln, Lakeland, FL 33810-6705 | 2013-02-05 |
| 1770689887 | Carpenters Home Estates Inc | Skilled Nursing Facility | 1001 Carpenters Way, Lakeland, FL 33809-3956 | 2006-09-15 |
| 1366483133 | Op Lake Parker, Inc. | Skilled Nursing Facility | 2020 W Lake Parker Dr, Lakeland, FL 33805-5005 | 2006-06-10 |
| 1518907039 | Tandem Health Care of Lakeland, Inc. | Skilled Nursing Facility | 5245 N Socrum Loop Rd, Lakeland, FL 33809-4253 | 2006-06-07 |
| 1083660427 | Lakeland Health Care Associates LLC | Skilled Nursing Facility | 1010 Carpenters Way, Lakeland, FL 33809-3926 | 2006-05-26 |
| 1841246329 | Oakbridge Health Care Associates LLC | Skilled Nursing Facility | 3110 Oakbridge Blvd E, Lakeland, FL 33803-5987 | 2006-05-26 |
| Find all providers in LAKELAND | ||||
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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.