Active NPI
SS Polk III Community HC LLC
- Skilled Nursing Facility
- Lakeland, FL
National Provider Identifier
1134038433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- SS POLK III COMMUNITY HC LLC
- Practice address
- 610 E Bella Vista St
Lakeland, FL 33805-3008 - Phone
- (863) 688-8591
- NPI assigned
- Sep 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alicia Cepeda
- Title
- Senior Legal/Risk Manager
- Phone
- (385) 342-5175
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
610 E Bella Vista St
Lakeland, FL 33805-3008
Mailing address
610 E Bella Vista St
Lakeland, FL 33805-3008
Phone (863) 688-8591
Other names 1
- Lakeland Hills Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788912000000",
"number": "1134038433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 E BELLA VISTA ST",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338053008",
"telephone_number": "863-688-8591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 E BELLA VISTA ST",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338053008",
"telephone_number": "863-688-8591"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SS POLK III COMMUNITY HC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-02",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A",
"authorized_official_last_name": "CEPEDA",
"authorized_official_first_name": "ALICIA",
"authorized_official_title_or_position": "SENIOR LEGAL/RISK MANAGER",
"authorized_official_telephone_number": "385-342-5175"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lakeland Hills Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.