Organization Active NPI

Lake Karl Properties, Inc.

  • Assisted Living Facility
  • Hudson, FL
National Provider Identifier
1154674166
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL38 Issued in FL
Legal business name
LAKE KARL PROPERTIES, INC.
Doing business as
Hudson Manor ALF
Practice address
13009 Lake Karl Dr
Hudson, FL 34669-2374
Phone
(727) 856-5282
Fax
(727) 856-7163
NPI assigned
Oct 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Authorized official

Name
Mr. Christopher Lee Damiani
Title
Director
Phone
(727) 856-5282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL38 FL Primary

Addresses

Primary practice location

13009 Lake Karl Dr
Hudson, FL 34669-2374

Mailing address

13009 Lake Karl Dr
Hudson, FL 34669-2374
Phone (727) 856-5282

Other identifiers 1

IdentifierTypeStateIssuer
689665100MedicaidFL

Other names 1

  • Hudson Manor ALF Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1154674166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13009 LAKE KARL DR",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346692374",
            "telephone_number": "727-856-5282",
            "fax_number": "727-856-7163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13009 LAKE KARL DR",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346692374",
            "telephone_number": "727-856-5282",
            "fax_number": "727-856-7163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE KARL PROPERTIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "DAMIANI",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "727-856-5282",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL38",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "689665100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hudson Manor ALF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hudson, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.