Organization Active NPI

Lakeland Hills Rehabilitation Center, LLC

Doing business as Lakeland Hills Center

  • Skilled Nursing Facility
  • Lakeland, FL
National Provider Identifier
1174527907
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF1279095 Issued in FL
Legal business name
LAKELAND HILLS REHABILITATION CENTER, LLC
Doing business as
Lakeland Hills Center
Practice address
610 E Bella Vista St
Lakeland, FL 33805-3008
Phone
(863) 688-8591
Fax
(863) 683-6705
NPI assigned
Jun 9, 2005
Organization subpart
Yes
Parent organization
HEARTHSTONE SENIOR COMMUNITIES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Authorized official

Name
Howard Jaffe
Title
President
Phone
(215) 346-6454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF1279095 FL Primary

Addresses

Primary practice location

610 E Bella Vista St
Lakeland, FL 33805-3008

Mailing address

1665 Palm Beach Lakes Blvd Ste 400
West Palm Beach, FL 33401-2108
Phone (561) 223-4300

Other identifiers 1

IdentifierTypeStateIssuer
008006800MedicaidFL

Other names 1

  • Lakeland Hills Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130710000004 FL Part A Provider - Skilled Nursing Facility 7012157381 Practice locations: Lakeland, FL

Skilled nursing facility certification: CCN 105283

Legal name
LAKELAND HILLS REHABILITATION CENTER, LLC
Doing business as
LAKELAND HILLS CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 1, 1974
Last certification
Sep 28, 2023
Beds
120
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Hearth Stone Senior Communities, Inc.
Organization structure
LLCNon-profit
Incorporated
Sep 18, 2008 in FL
Enrollment address
610 East Bella Vista Drive
Lakeland, FL 33805-3008
Nursing home name
LAKELAND HILLS CENTER
Affiliated entity
HEARTHSTONE SENIOR COMMUNITIES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lakeland Hills CenterCCN 105283 · All quality measures
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 1, 1974
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120114.3 residents per day on average
Chain
Hearthstone Senior Communities8 facilities in the chain
Penalties (3 years)
2Fines totaling $139,373

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Part of
Hearthstone Senior Communities Inc

Networks

  • 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)…
  • 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)

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Hearthstone Senior Communities, Inc. Organization, West Palm Beach, FL Non-profit 5% Or Greater Indirect Ownership Interest Apr 1, 2009 100%
Alvin Garner Individual Corporate OfficerBoard Member Apr 1, 2009
Lori Rombold Individual Corporate OfficerBoard Member Apr 1, 2009
Howard Jaffe Individual Corporate OfficerOfficer Apr 1, 2009
Destiny Bowden Individual Operational/Managerial Control Mar 14, 2022
Adp of the SNF Mar 14, 2022
Richard Kuhlmeyer Individual Operational/Managerial Control Apr 7, 2022
Adp of the SNF Apr 7, 2022
Themis Health Management, LLC Organization, West Palm Beach, FL LLC Operational/Managerial Control Sep 1, 2009
Adp of the SNF Mar 24, 2025
Consulting Support Services, LLC Organization, West Palm Beach, FL LLC Operational/Managerial Control Jun 28, 2011
Adp of the SNF Mar 24, 2025
Facility Support Company, LLC Organization, West Palm Beach, FL LLC Operational/Managerial Control Dec 13, 2010
Adp of the SNF Mar 24, 2025
Lakeland Hills Rehabilitation Center, LLC Organization, Lakeland, FL Created for acquisition, Non-profit 5% Or Greater Direct Ownership Interest Apr 1, 2009 100%
Kane Financial Services, LLC Organization, West Palm Beach, FL LLC Operational/Managerial Control Jun 6, 2012
Adp of the SNF Mar 24, 2025
Select Rehabilitation, LLC Organization, Glenview, IL LLC Adp of the SNF Aug 19, 2016
Brian Wyatt Individual Corporate OfficerBoard Member Apr 1, 2009

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 36

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 36

Practitioners & affiliated clinicians

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1174527907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 PALM BEACH LAKES BLVD STE 400",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012108",
            "telephone_number": "561-223-4300"
        },
        {
            "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",
            "fax_number": "863-683-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND HILLS REHABILITATION CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEARTHSTONE SENIOR COMMUNITIES, INC",
        "enumeration_date": "2005-06-09",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "JAFFE",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-346-6454"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1279095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008006800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeland Hills Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.