Springs of Lady Lake Alf, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9531 Issued in FL

Legal business name

SPRINGS OF LADY LAKE ALF, LLC

Practice address

620 Griffin Ave
Lady Lake, FL 32159-8103

Phone

(352) 259-0016

NPI assigned

Jun 22, 2007

Organization subpart

No

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

Authorized official

Name

William Mando

Title

Cfo

Phone

(813) 635-9500

Specialties & licenses 1

Addresses

Other names 1

• SPRINGS OF LADY LAKE Doing business as

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1043416571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 GRIFFIN AVE",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321598103",
            "telephone_number": "352-259-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 GRIFFIN AVE",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321598103",
            "telephone_number": "352-259-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGS OF LADY LAKE ALF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "MANDO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "813-635-9500"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPRINGS OF LADY LAKE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Lady Lake, FL
• Providers in Lady Lake, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.