Lakes Active Senior Living, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12965 Issued in FL

Legal business name

LAKES ACTIVE SENIOR LIVING, INC.

Practice address

3700 NW 27TH St
Lauderdale Lakes, FL 33311-1869

Phone

(954) 599-7686

NPI assigned

Feb 15, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Veronica Allen, RN

Title

Administrator

Phone

(954) 599-7686

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1255870804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 NW 27TH ST",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333111869",
            "telephone_number": "954-599-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 NW 27TH ST",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333111869",
            "telephone_number": "954-599-7686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES ACTIVE SENIOR LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-15",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-599-7686",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bela L Kovacs, MD
• Victoria Gabriella Kremer
• Kenneth T Kronheim
• Kumar Rajagopalan MD PA
• Rubens Laguerre
• Lakes Quality Care, Inc.
• Lanshel, Inc.
• Kerri Tiffany Latchman, RBT B.S
• Latino Medical Center III, Inc
• Latino Medicasl Center 111 Inc

• Assisted Living Facility in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, 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 Feb 15, 2017; 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.