Innovative Medical Management Solutions LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

INNOVATIVE MEDICAL MANAGEMENT SOLUTIONS LLC

Doing business as

The Lakes of Clermont Health and Rehabilitation Center

Practice address

1775 Hooks Street
Clermont, FL 34711

Phone

(813) 635-9500

NPI assigned

Jan 9, 2019

Last updated

Mar 11, 2024By 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

Ashley Ann Peters

Title

Vice President

Phone

(813) 415-7589

Specialties & licenses 1

Addresses

Other names 1

• The Lakes of Clermont Health and Rehabilitation Center Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Fal - Mountain Crest Inc.

  dba Mountain Crest Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Cincinnati, OH
  • NPI 1487839841

  Member Of

  NPD member

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1275006504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4042 PARK OAKS BLVD STE 300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336109539",
            "telephone_number": "813-675-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 HOOKS STREET",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "34711",
            "telephone_number": "813-635-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE MEDICAL MANAGEMENT SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-09",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "813-415-7589"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Lakes of Clermont Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Lakes of Clermont Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Clermont, FL
• Providers in Clermont, 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 Mar 11, 2024; 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.