Lake City Nursing LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LAKE CITY NURSING LLC

Doing business as

The Palms Nursing and Rehab at Lake City

Practice address

1270 SW Main Blvd
Lake City, FL 32025-6684

Phone

(386) 752-7900

Fax

(386) 758-6169

NPI assigned

Jun 9, 2021

Last updated

Jun 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Victoria Sharpless

Title

Director of Accounting

Phone

(352) 874-6007

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• THE PALMS NURSING AND REHAB AT LAKE CITY Doing business as

Locations

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623196800000",
    "number": "1194392936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3599 W LAKE MARY BLVD STE 1F",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463417",
            "telephone_number": "352-874-6007",
            "fax_number": "352-404-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 SW MAIN BLVD",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320256684",
            "telephone_number": "386-752-7900",
            "fax_number": "386-758-6169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CITY NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A",
        "authorized_official_last_name": "SHARPLESS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "DIRECTOR OF ACCOUNTING",
        "authorized_official_telephone_number": "352-874-6007"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261629-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE PALMS NURSING AND REHAB AT LAKE CITY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lake City Medical Center Emergency Physicians, LLC
• Lake City MGT LLC (Avalon Healthcare Center)
• Lake City Operating Investments LLC (Bedrock Rehabilitation and Nursing Center at Lake City)
• Lake City Optical Co Inc (Eyeglass Express)
• Lake City Outpatient Anesthesia PLLC
• Lake City Outpatient Anesthesia PLLC
• Lake City Pharmacy Inc

• Skilled Nursing Facility in Lake City, FL
• Providers in Lake City, 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 9, 2021; 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.