Lake Balaton, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL6681 Issued in FL

Legal business name

LAKE BALATON, INC.

Doing business as

The Villas of Casa Celeste

Practice address

9225 82ND Avenue N.
Suite 312
Seminole, FL 33777-2821

Phone

(727) 397-7272

Fax

(727) 319-3903

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Janos Bogdan

Title

President

Phone

(727) 397-7272

Specialties & licenses 1

Addresses

Other names 1

• The Villas of Casa Celeste Doing business as

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215043427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9225 82ND AVENUE N.",
            "address_2": "SUITE 312",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337772821",
            "telephone_number": "727-397-7272",
            "fax_number": "727-319-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 82ND AVENUE N.",
            "address_2": "SUITE 312",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337772821",
            "telephone_number": "727-397-7272",
            "fax_number": "727-319-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE BALATON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOGDAN",
        "authorized_official_first_name": "JANOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-397-7272"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL6681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Villas of Casa Celeste",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kucharik Chiropractic Clinic
• Edward J Kucharik, D.C.
• Jennifer L'Eon
• L&C Wellness Center LLC
• Charles H Lacoste, DC
• Lake Seminole Square Management Company, LLC
• Lakeside Optical Inc
• Peter S Lally, RPT
• Allen Dwayne Lamasco
• Amanda Marie Laurenzo, PHARM D

• Assisted Living Facility in Seminole, FL
• Providers in Seminole, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.