Organization Active NPI

Lake Wales SNF LLC

  • Skilled Nursing Facility
  • Lake Wales, FL
National Provider Identifier
1023972932
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LAKE WALES SNF LLC
Practice address
730 N Scenic Hwy
Lake Wales, FL 33853-3208
Phone
(863) 676-1512
NPI assigned
Dec 15, 2025
Last updated
Apr 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Authorized official

Name
Aharon Katz
Title
Authorized Official
Phone
(917) 757-2121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

730 N Scenic Hwy
Lake Wales, FL 33853-3208

Mailing address

730 N Scenic Hwy
Lake Wales, FL 33853-3208
Phone (863) 676-1512

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1765756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1023972932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 N SCENIC HWY",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338533208",
            "telephone_number": "863-676-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N SCENIC HWY",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338533208",
            "telephone_number": "863-676-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE WALES SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-15",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "AHARON",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "917-757-2121"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Wales, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.