Organization Active NPI

Lakeland Institute of Learning Inc

Doing business as Lifl Rehab Services

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Lakeland, FL
National Provider Identifier
1174990733
Registry record updated Sep 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
License
21040 Issued in FL
Legal business name
LAKELAND INSTITUTE OF LEARNING INC
Doing business as
Lifl Rehab Services
Practice address
3625 Bunker Rd
Lakeland, FL 33811-1099
Phone
(813) 362-9222
NPI assigned
Aug 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2015

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

Authorized official

Name
Mrs. Donna Lee BucknerNPI 1588030894
Title
President/Founder
Phone
(813) 362-9222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X FL
School Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041S0200X
Speech-Language AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 2355S0801X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X 21040 FL Primary

Addresses

Primary practice location

3625 Bunker Rd
Lakeland, FL 33811-1099

Mailing address

3625 Bunker Rd
Lakeland, FL 33811-1099
Phone (813) 362-9222

Other identifiers 1

IdentifierTypeStateIssuer
N/AOtherFLHOSPITAL BILLINGS

Other names 1

  • LIFL REHAB SERVICES Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442707200000",
    "number": "1174990733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 BUNKER RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338111099",
            "telephone_number": "813-362-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 BUNKER RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338111099",
            "telephone_number": "813-362-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND INSTITUTE OF LEARNING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-28",
        "last_updated": "2015-09-20",
        "status": "A",
        "authorized_official_last_name": "BUCKNER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT/FOUNDER",
        "authorized_official_telephone_number": "813-362-9222",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "FL",
            "license": "21040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOSPITAL BILLINGS",
            "identifier": "N/A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFL REHAB SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2015; 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.