North Lake Facility Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF14720952 Issued in FL

Legal business name

NORTH LAKE FACILITY INC

Doing business as

North Lake Care Center

Practice address

750 Bayberry Dr
Lake Park, FL 33403-3248

Phone

(561) 881-8144

NPI assigned

May 5, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Michael Bleich

Title

Authorized Representative

Phone

(845) 641-8314

Specialties & licenses 1

Addresses

Other names 1

• North Lake Care Center Doing business as

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1083091441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 HOLLYWOOD BLVD",
            "address_2": "#369",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 BAYBERRY DR",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334033248",
            "telephone_number": "561-881-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH LAKE FACILITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "BLEICH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "845-641-8314",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF14720952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Lake Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Lake Park, FL
• Providers in Lake Park, 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 May 5, 2015; 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.