SF LAKE PLACID ALF, LLC (NPI# 1629400379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629400379 |
| Entity Type | Organization |
| Organization Name | SF LAKE PLACID ALF, LLC |
| Practice Address |
1297 Us 27 N Lake Placid FL 33852-7907 |
| Mailing Address |
40 Palafox Pl Suite 400 Pensacola FL 32502-5697 |
| Practice Telephone | 8634650568 |
| Enumeration Date | 2013-08-05 |
| 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 | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
1297 US 27 N |
| City | LAKE PLACID |
| State | FL |
| Zip Code | 33852-7907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528207693 | Southern Lifestyle Alf of Lake Placid LLC | Alzheimer Center (Dementia Center) | 1297 Us 27 N, Lake Placid, FL 33852-7907 | 2009-02-13 |
| 1679172530 | Joshua Claypool | Physical Therapy Assistant | 1297 Us 27 N, Lake Placid, FL 33852-7907 | 2020-10-21 |
| 1194389098 | Evelyn Anekpo | Occupational Therapy Assistant | 1297 Us 27 N, Lake Placid, FL 33852-7907 | 2019-04-25 |
| 1093379034 | Sherri Lynn Bowman | Occupational Therapy Assistant | 1297 Us 27 N, Lake Placid, FL 33852-7907 | 2019-04-25 |
| 1639632102 | Tina Marie Othman | Speech-Language Pathologist | 1297 Us 27 N, Lake Placid, FL 33852-7907 | 2019-04-10 |
| 1134699804 | Javier Leandro Fernandez | Physical Therapist | 1297 Us 27 N, Lake Placid, FL 33852-7907 | 2018-11-26 |
| 1831674852 | Guyron Levan Mills | Physical Therapist | 1297 Us 27 N, Lake Placid, FL 33852-7907 | 2018-09-25 |
| 1861979338 | Roy Arceo Damolo | Occupational Therapist | 1297 Us 27 N, Lake Placid, FL 33852-7907 | 2018-07-26 |
| 1548776701 | James Riley | Physical Therapy Assistant | 1297 Us 27 N, Lake Placid, FL 33852-7907 | 2017-12-22 |
| 1316478043 | Charlene Marsh | Clinic/Center | 1297 Us 27 N, Lake Placid, FL 33852-7907 | 2017-03-24 |
| 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 | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720422405 | Nic 4 Balmoral Leasing LLC | Assisted Living Facility | 93 Balmoral Drive, Lake Placid, FL 33852 | 2013-04-24 |
| 1962760108 | Balmoral Assisted Living, LLC | Assisted Living Facility | 93 Balmoral Dr, Lake Placid, FL 33852-7000 | 2012-04-25 |
| 1750800959 | Gahc4 Balmoral Fl Trs Sub, LLC | Assisted Living Facility | 93 Balmoral Dr, Lake Placid, FL 33852-7000 | 2017-09-19 |
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|---|---|---|---|---|
| 1689275372 | Loving Family Senior Care, LLC | Assisted Living Facility | 2323 Nw 34th St, Miami, FL 33142-5307 | 2020-11-08 |
| 1548861230 | Allure A&l Inc | Assisted Living Facility | 13692 Carlton St, Wellington, FL 33414-7748 | 2020-11-08 |
| 1982205787 | Pd & Sr, L.L.C. | Assisted Living Facility | 730 Frisco St Se, Palm Bay, FL 32909-3711 | 2020-11-06 |
| 1982205019 | Cantillo Love & Care LLC | Assisted Living Facility | 1045 W 23rd St, Hialeah, FL 33010-1922 | 2020-11-04 |
| 1194326728 | Bliss Life Residential Care | Assisted Living Facility | 402 Arthur Ave, Lehigh Acres, FL 33936-7412 | 2020-11-02 |
| 1811597404 | Huguette Mortimer Dupont | Assisted Living Facility | 1596 Sw Paar Dr, Port St Lucie, FL 34953-6159 | 2020-11-01 |
| 1750981841 | Senior Living Properties IIi, LLC | Assisted Living Facility | 3791 Old Canoe Creek Rd, Saint Cloud, FL 34769-6630 | 2020-10-28 |
| 1417556028 | 5081 Cambridge LLC | Assisted Living Facility | 5081 Nw Dunn Rd, Fort Pierce, FL 34981-4942 | 2020-10-23 |
| 1134728926 | Pacifica Lauderhill LLC | Assisted Living Facility | 5500 Nw 69th Ave, Lauderhill, FL 33319-7266 | 2020-10-22 |
| 1760081749 | Hsre-ahr Zephyrhills LLC | Assisted Living Facility | 38130 Pretty Pond Road, Zephyrhills, FL 33540 | 2020-10-21 |
| 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.