Lake Morton Senior Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LAKE MORTON SENIOR LIVING LLC

Practice address

400 Florida Ave S
Lakeland, FL 33801-5254

Phone

(863) 683-1000

NPI assigned

May 29, 2023

Organization subpart

No

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

Authorized official

Name

Kevin Tapp

Title

Regional Director of Operations

Phone

(727) 418-3148

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685318400000",
    "number": "1104519925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 ULMERTON RD STE 200",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603951",
            "telephone_number": "727-683-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FLORIDA AVE S",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015254",
            "telephone_number": "863-683-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE MORTON SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-29",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-29",
        "status": "A",
        "authorized_official_last_name": "TAPP",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "727-418-3148"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nyamekye Laird, PH.D.
• Reyna Isabel Lajara, M.D.
• Lake Gibson Village,LLC
• Lake Morton Plaza, LLC
• Lake Morton Retirement Home
• Lake Parker Facility Operations LLC
• Lake Parker SNF Operations LLC
• Lake Wire Pharmacy Inc
• Lakeland Alf Management, LLC
• Lakeland Allergy Asthma & Immunology

• 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 May 29, 2023; 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.