LP Jacksonville, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF10800961 Issued in FL

Legal business name

LP JACKSONVILLE, LLC

Doing business as

Signature HealthCARE of Jacksonville

Practice address

2061 Hyde Park Rd
Jacksonville, FL 32210-3815

Phone

(904) 786-7331

Fax

(904) 786-4034

NPI assigned

Mar 9, 2010

Organization subpart

Yes

Parent organization

LP O HOLDINGS II, LLCAs reported in NPPES

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

Authorized official

Name

Mr. John Harrison

Title

Cfo

Phone

(502) 568-7800

Specialties & licenses 2

Addresses

Other names 1

• Signature HealthCARE of Jacksonville Doing business as

Networks

• 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)
• 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 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)…

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1154644912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 HYDE PARK RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322103815",
            "telephone_number": "904-786-7331",
            "fax_number": "904-786-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 HYDE PARK RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322103815",
            "telephone_number": "904-786-7331",
            "fax_number": "904-786-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LP JACKSONVILLE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LP O HOLDINGS II, LLC",
        "enumeration_date": "2010-03-09",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "502-568-7800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "FL",
            "license": "SNF10800961",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF10800961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature HealthCARE of Jacksonville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Annamarie Loyola, ARNP
• Antonio Loyola
• Guillermo Loyola, DO
• Jennifer Lozada
• Dominika Lozowska, MD
• LTR Medical Management Group Inc
• Alex Albin Lu, MD
• Kelvin Lu
• Nam-Phuong T. Lu, D.O.
• Alysha Lubana, MD

• Skilled Nursing Facility in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.