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South Lake Hospital Inc

Organization Active NPI Skilled Nursing Facility · Clermont, FL

NPI 1124418975 · NPPES record last updated Jun 5, 2018

Key facts

NPI
1124418975
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
4180 (FL)
Legal business name
SOUTH LAKE HOSPITAL INC
Practice address
2145 Don Wickham Dr
Clermont, FL 34711
Phone
(352) 536-8787
Fax
(352) 241-7124
NPI assigned
Feb 2, 2015
Organization subpart
No

Authorized official

Name
Lance Sewell
Title
Cfo
Phone
(352) 394-4071

Owners & managing parties with NPI records 8

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Amit Aggarwal, MD Family Medicine Physician · Clermont, FL · NPI 1326368234
    CMS ownership ADP OF THE SNF · OPERATIONAL/MANAGERIAL CONTROL
  • Orlando Health Inc Community/Retail Pharmacy · Orlando, FL · NPI 1477616092
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST · ADP OF THE SNF · OPERATIONAL/MANAGERIAL CONTROL
  • Orlando Health Inc Community/Retail Pharmacy · Ocoee, FL · NPI 1710505458
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST · ADP OF THE SNF · OPERATIONAL/MANAGERIAL CONTROL
  • Orlando Health, Inc. General Acute Care Hospital · Orlando, FL · NPI 1184709057
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST · ADP OF THE SNF · OPERATIONAL/MANAGERIAL CONTROL
  • Orlando Health, Inc. Psychiatric Hospital · Longwood, FL · NPI 1518674035
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST · ADP OF THE SNF · OPERATIONAL/MANAGERIAL CONTROL
  • Orlando Health, Inc. Rehabilitation Hospital Unit · Ocoee, FL · NPI 1801503313
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST · ADP OF THE SNF · OPERATIONAL/MANAGERIAL CONTROL
  • Orlando Health, Inc. End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Orlando, FL · NPI 1811604325
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST · ADP OF THE SNF · OPERATIONAL/MANAGERIAL CONTROL
  • Orlando Health, Inc. Ambulance · Orlando, FL · NPI 1922715432
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST · ADP OF THE SNF · OPERATIONAL/MANAGERIAL CONTROL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Facilities with the same owner 20

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Medicare Care Compare: Nursing home

Listed as
Skytop View Rehabilitation Center CCN 106105
Overall star rating
★★★★★ 5 of 5
Health inspections
★★★★☆ 4 of 5
Staffing
★★★★★ 5 of 5
Quality measures
★★★★☆ 4 of 5
Type
Medicare
Ownership
For profit - Individual
Certified
Jul 22, 2015
Medicare certification status
Active (Provider of Services file)
Certified beds
30 · 26.4 residents per day on average

Source: Medicare Care Compare, processed Aug 1, 2026.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL

Skilled nursing facility certification: CCN 106105

Legal name
SOUTH LAKE HOSPITAL INC
Doing business as
SKYTOP VIEW REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Jul 22, 2015
Last certification
Mar 5, 2025
Beds
30
Ownership / control type
Individual
Multi-facility organization
Skytop View
Organization structure
Corporation · Non-profit
Enrollment address
2145 North Don Wickham Drive
Clermont, FL 34711-1909
Nursing home name
SKYTOP VIEW REHABILITATION CENTER

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Orlando Health Inc
Organization · Orlando, FL
Corporation, Non-profit, Chain home office 		5% Or Greater Direct Ownership Interest Jul 1, 2019 100%
Operational/Managerial Control Jul 1, 2019
Adp of the SNF Jul 1, 2019
Michele Napier
Individual 		Corporate Officer
Chief Revenue Officer		 Jan 1, 2025
Amit Aggarwal
Individual 		Operational/Managerial Control Jul 1, 2023
Adp of the SNF Jul 1, 2023
Tasia Lewis
Individual 		Operational/Managerial Control Jan 22, 2024
Adp of the SNF Jan 22, 2024
John Miller
Individual 		Corporate Director
SVP of Finance		 Oct 1, 2022

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20150414001789 FL Part a Provider - Skilled Nursing Facility 6901718931 Practice locations: Clermont, FL

National Provider Directory

Tax ID family
South Lake Hospital (2 organizations share this tax ID)

Networks

  • Freedom Health HMO Network
    Plans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO Network
    Plans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 4180 FL Yes

Addresses

Primary practice location

2145 Don Wickham Dr
Clermont, FL 34711

Mailing address

1900 Don Wickham Dr
Clermont, FL 34711-1979
Phone (352) 394-4071

Other providers in Clermont, FL

All providers in Clermont, FL · Skilled Nursing Facility in Florida

Sources for this page

Verify at the official NPI Registry.