WG HERITAGE LF, LLC (NPI# 1811338932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811338932 |
| Entity Type | Organization |
| Organization Name | WG HERITAGE LF, LLC |
| Other Organization Name | ATRIA AT LAKE FOREST |
| Practice Address |
5433 W State Road 46 Sanford FL 32771-9236 |
| Mailing Address |
300 E. Market Street Suite 100 Louisville KY 40202-1196 |
| Practice Telephone | 4073222207 |
| Practice Fax Number | 4073023411 |
| Mailing Telephone | 5027794700 |
| Mailing Fax Number | 5027794749 |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2019-10-15 |
| Authorized Official Name | W. BRYAN HUDSON (EVP, GENERAL COUNSEL AND SECRETARY) |
| Authorized Official Telephone | 5027794700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL10233 | FL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Atria at Lake Forest | Doing Business As Name - Organization |
| Street Address |
5433 W STATE ROAD 46 |
| City | SANFORD |
| State | FL |
| Zip Code | 32771-9236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740305796 | Cheryl Wells | Physical Therapy Assistant | 5433 W State Road 46, Sanford, FL 32771-9236 | 2007-03-20 |
| 1770078131 | Kathryn Friedle | Occupational Therapist | 5433 W State Road 46, Sanford, FL 32771-9236 | 2018-06-28 |
| 1477964823 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 5433 W State Road 46, Sanford, FL 32771-9236 | 2014-05-19 |
| 1376984856 | Marie Andree Pericaud | Occupational Therapist | 5433 W State Road 46, Sanford, FL 32771-9236 | 2013-07-11 |
| 1245512920 | Kyiesha Aristile | Physical Therapist | 5433 W State Road 46, Sanford, FL 32771-9236 | 2011-09-19 |
| 1639311772 | Sherry Evelyn Johns | Occupational Therapy Assistant | 5433 W State Road 46, Sanford, FL 32771-9236 | 2009-04-06 |
| 1477754109 | Beham Karimi Nowbandegani | Occupational Therapist | 5433 W State Road 46, Sanford, FL 32771-9236 | 2007-05-30 |
| 1104945914 | Alison Hartung | Speech-Language Pathologist | 5433 W State Road 46, Sanford, FL 32771-9236 | 2007-03-29 |
| 1689793606 | Gina Gray Selders | Physical Therapy Assistant | 5433 W State Road 46, Sanford, FL 32771-9236 | 2007-03-29 |
| 1114046919 | Nimisha Patel | Occupational Therapy Assistant | 5433 W State Road 46, Sanford, FL 32771-9236 | 2007-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134695224 | Sheena L Grayson | Pharmacist | 4942 W State Rd 46, Suite 1014, Sanford, FL 32771 | 2018-10-16 |
| 1699284299 | Christopher Ryan King | Chiropractor | 1026 Old England Loop, Sanford, FL 32771 | 2017-09-26 |
| 1669991345 | Scarlett Sierra | Counselor | 401 W Seminole Blvd, Sanford, FL 32771 | 2017-09-14 |
| 1881132249 | Tracy Shibla | Nurse Practitioner | 2320 Retreat View Cir, Sanford, FL 32771 | 2017-02-06 |
| 1205387206 | Tabitha Boyd | Behavior Technician | 4136 Geranium Ln #102, Sanford, FL 32771 | 2016-10-14 |
| 1104275874 | Jessica Willis | Nurse Anesthetist, Certified Registered | 108 Temple Dr, Sanford, FL 32771 | 2016-06-03 |
| 1013379957 | Bai Medical LLC | Point of Service | 580 Lexington Green Lane, Sanford, FL 32771 | 2016-03-21 |
| 1710347851 | Melissa T Ramsawak | Nurse Practitioner | 4930 East Lake Mary Boulevard, Sanford, FL 32771 | 2016-03-02 |
| 1811394570 | Tanesha Burns | Counselor | 209 San Carlos Ave Ste 111a, Sanford, FL 32771 | 2014-11-24 |
| 1053717322 | Amy Hertz, Dmd and Minta Lopez-torres, Dmd | Dentist | 5030 West Sr 46, Suite 1018, Sanford, FL 32771 | 2014-11-13 |
| Find all providers in zip 32771 | ||||
| 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 |
|---|---|---|---|---|
| 1871009258 | Sunshine Pharmacy of Sanford LLC | Assisted Living Facility | 5040 Sr 46 Ste 1126, Sanford, FL 32771-9252 | 2017-12-20 |
| 1790186526 | Parkview Retirement Center, Inc. | Assisted Living Facility | 1801 Wicker St, Sanford, NC 27330-7782 | 2014-09-11 |
| 1720418635 | Hope Assisted Living Facility | Assisted Living Facility | 1401 Dixie Way, Sanford, FL 32771-3034 | 2013-11-14 |
| 1548604267 | Nic 5 Renaissance Retirement Leasing LLC | Assisted Living Facility | 300 W Airport Blvd., Sanford, FL 32773 | 2013-04-24 |
| 1104060656 | Manor At Phillipstown Place Inc | Assisted Living Facility | 27 Mayflower St, Sanford, ME 04073-3645 | 2009-04-28 |
| 1538324801 | Renassaince Retirement Center, LLC | Assisted Living Facility | 300 W Airport Blvd, Sanford, FL 32773-8000 | 2008-07-25 |
| 1992988547 | Guardian Home Alf LLC | Assisted Living Facility | 431 E Airport Blvd, Sanford, FL 32773-5494 | 2007-12-06 |
| 1629258678 | Alternative Senior Care | Assisted Living Facility | 5433 Sr 46, Sanford, FL 32771-9236 | 2007-11-07 |
| 1316133374 | Leak's Family Care Home | Assisted Living Facility | 302 Stone St, Sanford, NC 27330-5831 | 2007-09-24 |
| 1043406002 | Leak's Family Care Home | Assisted Living Facility | 548 Cox Maddox Rd, Sanford, NC 27332-8019 | 2007-09-24 |
| Find all providers in SANFORD | ||||
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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.