NPIMap

Organization Active NPI

South Lake Hospital Inc

  • Skilled Nursing Facility
  • Clermont, FL
National Provider Identifier
1124418975
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
4180 Issued in 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
Last updated
Jun 5, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2018

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

Authorized official

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

Specialties & licenses 1

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

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124418975. Details of each certification follow.

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
CorporationNon-profit
Enrollment address
2145 North Don Wickham Drive
Clermont, FL 34711-1909
Nursing home name
SKYTOP VIEW REHABILITATION CENTER

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Skytop View Rehabilitation CenterCCN 106105 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
3026.4 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
South Lake Hosp2 organizations share this tax ID, including this one

Other organizations with this 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.

Networks

  • Freedom Health HMO NetworkPlans: 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 Máximo (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 NetworkPlans: 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)

Ownership & related parties

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 OfficerChief 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 DirectorSVP of Finance Oct 1, 2022

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

    Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Orlando Health Inc

    dba Orlando Health Scripts

    • Community/Retail Pharmacy
    • Orlando, FL
    • NPI 1477616092

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Orlando Health Inc
    • Community/Retail Pharmacy
    • Ocoee, FL
    • NPI 1710505458

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Orlando Health, Inc.
    • General Acute Care Hospital
    • Orlando, FL
    • NPI 1184709057

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Orlando Health, Inc.

    dba Orlando Health South Seminole Hospital

    • Psychiatric Hospital
    • Longwood, FL
    • NPI 1518674035

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Orlando Health, Inc.

    dba Orlando Health Rehab Institute

    • Rehabilitation Hospital Unit
    • Ocoee, FL
    • NPI 1801503313

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Orlando Health, Inc.
    • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
    • Orlando, FL
    • NPI 1811604325

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Orlando Health, Inc.
    • Ambulance
    • Orlando, FL
    • NPI 1922715432

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 20

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

View all 20

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528156800000",
    "number": "1124418975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 DON WICKHAM DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111979",
            "telephone_number": "352-394-4071",
            "fax_number": "352-241-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 DON WICKHAM DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "34711",
            "telephone_number": "352-536-8787",
            "fax_number": "352-241-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH LAKE HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2018-06-05",
        "status": "A",
        "authorized_official_last_name": "SEWELL",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "352-394-4071"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "4180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.