NPIMap

Organization Active NPI

The Villages Rehabilitation Services LLC

Doing business as Lake Centre for Rehabilitation at the Villages

  • Rehabilitation Clinic/Center
  • The Villages, FL
National Provider Identifier
1134749849
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
THE VILLAGES REHABILITATION SERVICES LLC
Doing business as
Lake Centre for Rehabilitation at the Villages
Practice address
2955 Brownwood Blvd Ste 302
The Villages, FL 32163-2036
Phone
(352) 706-1122
NPI assigned
Apr 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Authorized official

Name
Robert Goldstein
Title
Ceo
Phone
(352) 728-6636

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

2955 Brownwood Blvd Ste 302
The Villages, FL 32163-2036

Mailing address

PO Box 491313
Leesburg, FL 34749-1313
Phone (352) 728-6636

Other names 1

  • Lake Centre for Rehabilitation at the Villages Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201006002973 FL DME Supplier - Rehabilitation AgencyDME Supplier - Independently-Practicing Physical TherapistDME Supplier - Independently-Practicing Occupational Therapist 7113831686 Practice locations: The Villages, FL

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory

Member of 1

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

Locations

900 CR 466
Lady Lake, FL 32159

3355 Wedgewood Ln
Ste 3355
The Villages, FL 32162
Phone (352) 259-6750

1400 N US Highway 441
Ste 830
The Villages, FL 32159
Phone (352) 259-6750

340 Heald Way
Ste 232
The Villages, FL 32163
Phone (352) 330-1154

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652313600000",
    "number": "1134749849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 491313",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347491313",
            "telephone_number": "352-728-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 BROWNWOOD BLVD STE 302",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321632036",
            "telephone_number": "352-706-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VILLAGES REHABILITATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-22",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-728-6636"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Centre for Rehabilitation at the Villages",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lake Centre for Rehabilitation at the Villages",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in The Villages, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.