Lakeland BG Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LAKELAND BG OPCO LLC

Doing business as

Oakbridge Place

Practice address

3110 Oakbridge Blvd E
Lakeland, FL 33803-5987

Phone

(863) 647-1199

NPI assigned

Sep 7, 2016

Organization subpart

No

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

Authorized official

Name

Peter Tarsney

Title

Authorized Signatory

Phone

(312) 725-7000

Specialties & licenses 1

Addresses

Other names 1

• Oakbridge Place Doing business as

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1104373257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N WABASH AVE",
            "address_2": "SUITE 3700",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113586",
            "telephone_number": "312-725-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 OAKBRIDGE BLVD E",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338035987",
            "telephone_number": "863-647-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND BG OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "TARSNEY",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "AUTHORIZED SIGNATORY",
        "authorized_official_telephone_number": "312-725-7000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oakbridge Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Lakeland, FL
• Providers in Lakeland, 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 Sep 27, 2016; 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.