VTR Anthem Lakes, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

VTR ANTHEM LAKES, LLC

Doing business as

Anthem Lakes Waterview Senior Living

Practice address

905 Assisi LN
Jacksonville, FL 32233-2972

Phone

(904) 583-5399

NPI assigned

Jun 12, 2025

Last updated

Jun 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Seth Walker

Title

Cfo

Phone

(850) 583-7990

Specialties & licenses 1

Addresses

Other names 1

• ANTHEM LAKES WATERVIEW SENIOR LIVING Doing business as

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1053206615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2573 BARRINGTON CIR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323086805",
            "telephone_number": "850-583-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 ASSISI LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322332972",
            "telephone_number": "904-583-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VTR ANTHEM LAKES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "850-583-7990"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANTHEM LAKES WATERVIEW SENIOR LIVING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jonathan Vredenburg, RD,LD/N
• Jeremiah Vrudny
• Annie H Vu
• John Ho Vu, M.D.
• Kristie A Vu, MD
• Linh Hue Vu, M.D.
• Yevgeniy Vugman, RN

• Assisted Living Facility in Jacksonville, FL
• Providers in Jacksonville, 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 Jun 12, 2025; 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.