Lake Worth Enterprise LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LAKE WORTH ENTERPRISE LLC

Practice address

1201 12TH Ave S
Lake Worth, FL 33460-5409

Phone

(561) 586-7404

Fax

(561) 586-7404

NPI assigned

Dec 19, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Nelson Robaina

Title

Reimbursement

Phone

(305) 864-9191

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Oasis Health and Rehabilitation Center Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1013070002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 12TH AVE S",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334605409",
            "telephone_number": "561-586-7404",
            "fax_number": "561-586-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 12TH AVE S",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334605409",
            "telephone_number": "561-586-7404",
            "fax_number": "561-586-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE WORTH ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "ROBAINA",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "REIMBURSEMENT",
        "authorized_official_telephone_number": "305-864-9191",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0-266-124-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oasis Health and Rehabilitation Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Karese Laguerre, RDH
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• Lake Worth Chiropractic Center Inc
• Lake Worth Diagnostic Testing Group Inc
• Lake Worth Emergency Chiropractic Center
• Lake Worth Fire Department
• Lake Worth Opco LLC
• Lake Worth Orthodontics
• Lake Worth Rehabilitation Center LLC (Lake Worth Rehabilitation Center)
• Lake Worth SNF LLC (Terraces of Lake Worth Rehabilitation and Health Center)

• Skilled Nursing Facility in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.