LAKE HARRIS HEALTH SYSTEMS LLC (NPI# 1740295476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740295476 |
| Entity Type | Organization |
| Organization Name | LAKE HARRIS HEALTH SYSTEMS LLC |
| Other Organization Name | LAKE HARRIS HEALTH CENTER |
| Practice Address |
701 Lake Port Blvd Leesburg FL 34748-7674 |
| Practice Telephone | 3527283366 |
| Practice Fax Number | 3527286158 |
| Mailing Telephone | 3527283366 |
| Mailing Fax Number | 3527286158 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2008-12-23 |
| Authorized Official Name | MS. PATRICE EVANS (ADMINISTRATOR) |
| Authorized Official Telephone | 3527283366 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 022896600 | 05 |
| Other Name | Type Code |
|---|---|
| Lake Harris Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407050578 | Lake Harris Health Systems LLC | Home Health | 701 Lake Port Blvd, Leesburg, FL 34748-7674 | 2007-06-13 |
| Street Address |
701 LAKE PORT BLVD |
| City | LEESBURG |
| State | FL |
| Zip Code | 34748-7674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073927331 | Ccrc - Lake Port Square, LLC | Skilled Nursing Facility | 701 Lake Port Blvd, Leesburg, FL 34748-7674 | 2014-06-16 |
| 1407050578 | Lake Harris Health Systems LLC | Home Health | 701 Lake Port Blvd, Leesburg, FL 34748-7674 | 2007-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437610243 | Ashley Shamsa Martin | Behavior Technician | 292 Bent Oak Ct, Leesburg, FL 34748 | 2019-03-26 |
| 1891278875 | Luis O Aponte Mendoza | Physician Assistant | 704 Doctors Ct., Suite 101, Leesburg, FL 34748 | 2018-09-14 |
| 1881197903 | Physician Associates LLC | Internal Medicine | 22316 Us Highway 27, Leesburg, FL 34748 | 2018-03-15 |
| 1184136145 | Infinite Support Services LLC | In Home Supportive Care | 129 Grove Ridge Circle, 104, Leesburg, FL 34748 | 2017-10-31 |
| 1619403037 | Massage and Wellness Care | Health Maintenance Organization | 1218 W. Dixie Ave, Suite A, Leesburg, FL 34748 | 2017-05-04 |
| 1497202675 | Prime Radiology of Leesburg Inc | Radiology | 600 N W Blvd, Suite E, Leesburg, FL 34748 | 2016-09-06 |
| 1023480332 | Juanita Elizabeth Simpson | Contractor | 1911 Harcourt Drive, Leesburg, FL 34748 | 2015-10-26 |
| 1467835900 | Serenity Choice Place, LLC | Community/Behavioral Health | 721 Balmoral Circle, Leesburg, FL 34748 | 2015-07-01 |
| 1356738397 | Touching Heart's Group Homes, LLC | Community/Behavioral Health | 31809 Sunpark Cir, Leesburg, FL 34748 | 2015-04-16 |
| 1386035269 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1103 N 14th Street, Leesburg, FL 34748 | 2015-02-12 |
| Find all providers in zip 34748 | ||||
| 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 |
|---|---|---|---|---|
| 1538223722 | Avante At Leesburg, Inc. | Skilled Nursing Facility | 2000 Edgewood Ave, Leesburg, FL 34748-5516 | 2006-12-21 |
| 1194746032 | Loudoun Nursing and Rehabiliation Center | Skilled Nursing Facility | 235 Old Waterford Rd Nw, Leesburg, VA 20176-2117 | 2006-07-23 |
| 1578553970 | Leesburg Life Care, LLC | Skilled Nursing Facility | 122 Morven Park Rd Nw, Leesburg, VA 20176 | 2005-10-26 |
| 1750370656 | Leesburg Health and Rehab | Skilled Nursing Facility | 715 E Dixie Ave, Leesburg, FL 34748-5926 | 2005-10-14 |
| 1548752629 | Leesburg Life Care, LLC | Skilled Nursing Facility | 122 Morven Park Rd Nw, Leesburg, VA 20176-2024 | 2018-06-04 |
| 1629455779 | South Campus Facility Inc | Skilled Nursing Facility | 715 E Dixie Ave, Leesburg, FL 34748-5926 | 2015-04-28 |
| 1073927331 | Ccrc - Lake Port Square, LLC | Skilled Nursing Facility | 701 Lake Port Blvd, Leesburg, FL 34748-7674 | 2014-06-16 |
| 1326479452 | Ncrnc Inc. | Skilled Nursing Facility | 700 N Palmetto St, Leesburg, FL 34748-4419 | 2013-11-27 |
| 1073866166 | Dixie Highway Snf LLC | Skilled Nursing Facility | 715 E Dixie Ave, Leesburg, FL 34748-5926 | 2012-10-26 |
| 1083876312 | Laraine Catherine Astarita | Skilled Nursing Facility | 700 N Palmetto St, Leesburg, FL 34748-4419 | 2008-06-27 |
| Find all providers in LEESBURG | ||||
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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.