Lake Health Care Center Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

NOTREQUIRED Issued in FL

Legal business name

LAKE HEALTH CARE CENTER INC

Practice address

910 Mount Homer Rd
Eustis, FL 32726-6258

Phone

(352) 357-8615

NPI assigned

May 23, 2005

Organization subpart

No

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

Authorized official

Name

Lorri J Hartley

Title

Office Administrator

Phone

(352) 357-8615

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Fernandes, D.C.

  • Chiropractor
  • Eustis, FL
  • NPI 1154326981
  Medicare reassignment Care Compare group NPD
• John Heiligenthal, D.C.

  • Nutrition Chiropractor
  • Eustis, FL
  • NPI 1528063757
  Medicare reassignment Care Compare group NPD
• Victor Torres, DPM

  • Foot & Ankle Surgery Podiatrist
  • Eustis, FL
  • NPI 1306841119
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277164800000",
    "number": "1104829316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 MOUNT HOMER RD",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266258",
            "telephone_number": "352-357-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 MOUNT HOMER RD",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266258",
            "telephone_number": "352-357-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE HEALTH CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2010-06-22",
        "status": "A",
        "authorized_official_last_name": "HARTLEY",
        "authorized_official_first_name": "LORRI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "352-357-8615"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "NOTREQUIRED",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "NOTREQUIRED",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "NOTREQUIRED",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Laguerre Small, SLPA
• Lake County Primary Medical Care LLC
• Lake County Spine and Injury
• Lake Eustis Operating Investments LLC
• Lake Foot Clinic Inc
• Lake Internal Medicine Associates
• Lake Respiratory Services, Inc.
• Lake View Nutrition Consulting SVCS. Inc.
• Lake Women for Women OB/GYN,LLC
• Lamb Audiology LLC

• Chiropractor in Eustis, FL
• Providers in Eustis, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.