Lhi, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF130470971 Issued in FL

Legal business name

LHI, LLC

Practice address

512 W Main St
Mayo, FL 32066-4136

Phone

(386) 294-3300

Fax

(386) 294-3301

NPI assigned

Sep 22, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Richard Wisdahl, LNHA

Title

Administrator

Phone

(386) 294-3300

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Lafayette Health Care Center Doing business as

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1164418307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 W MAIN ST",
            "city": "MAYO",
            "state": "FL",
            "postal_code": "320664136",
            "telephone_number": "386-294-3300",
            "fax_number": "386-294-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 W MAIN ST",
            "city": "MAYO",
            "state": "FL",
            "postal_code": "320664136",
            "telephone_number": "386-294-3300",
            "fax_number": "386-294-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LHI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "WISDAHL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "386-294-3300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF130470971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026448200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE FACILITY MDS ID NUM",
            "identifier": "35960908",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lafayette Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lafayette County School Board
• Lafayette Health Care Center, LLC
• Lafayette Nursing & Rehab Center LLC
• Lafayette Operations, LLC
• Samuel Lee Jr., RRT
• Bogdan F Maliszewski, MD
• Robert A Mathews, M.D.
• Mayo Family Pharmacy, Inc.
• Chelsea McAdams, L.M.T.
• Vicky Noling, PHARM.D.

• Skilled Nursing Facility in Mayo, FL
• Providers in Mayo, 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 Jun 26, 2008; 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.