Nature Coast Lodge, LLP

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9126 Issued in FL

Legal business name

NATURE COAST LODGE, LLP

Practice address

279 N Lecanto Hwy
Lecanto, FL 34461-7103

Phone

(352) 527-9720

Fax

(352) 527-8215

NPI assigned

Sep 6, 2005

Organization subpart

No

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

Authorized official

Name

Carla Brooks

Title

Cfo - Deaconess Long Term Care, Inc

Phone

(513) 487-3600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nature Coast Doing business as

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265426324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 LAFAYETTE AVE",
            "address_2": "SUITE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452201022",
            "telephone_number": "513-487-3600",
            "fax_number": "513-487-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 N LECANTO HWY",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344617103",
            "telephone_number": "352-527-9720",
            "fax_number": "352-527-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURE COAST LODGE, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "CFO - DEACONESS LONG TERM CARE, INC",
        "authorized_official_telephone_number": "513-487-3600"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSISTED LIVING LICENSE #",
            "identifier": "AL9126",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nature Coast",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katrina Naber, PA-C
• Ryan Ashley Najimian, OTR/L
• National Mentor Healthcare LLC
• National Vision, Inc
• Nature Coast Emergency Medical Foundation Inc
• Nature Coast Mind Body Medicine, LLC
• Nature Coast Pathology Services, Inc.
• Nature Coast Pediatrics, Inc
• Nature Coast Psychiatry PLLC
• Naturecoast Pain Associates Inc

• Assisted Living Facility in Lecanto, FL
• Providers in Lecanto, 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.