Lake City Rehab LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LAKE CITY REHAB LLC

Practice address

560 SW McFarlane Ave
Lake City, FL 32025-5614

Phone

(386) 758-4777

Fax

(386) 961-9296

NPI assigned

Oct 6, 2010

Organization subpart

No

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

Authorized official

Name

John E Warren

Title

MGR

Phone

(386) 758-4777

Specialties & licenses 1

Addresses

Other names 1

• The Health Center of Lake City Doing business as

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315785600000",
    "number": "1285943324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 SW MCFARLANE AVE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320255614",
            "telephone_number": "386-758-4777",
            "fax_number": "386-961-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 SW MCFARLANE AVE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320255614",
            "telephone_number": "386-758-4777",
            "fax_number": "386-961-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CITY REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-06",
        "last_updated": "2011-09-12",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "386-758-4777"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Health Center of Lake City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lake City Optical Co Inc
• Lake City Outpatient Anesthesia PLLC
• Lake City Outpatient Anesthesia PLLC
• Lake City Pharmacy Inc
• Lake City Regional Medical Group LLC
• Lake City Spine & Injury, LLC
• Lake City Surgery Center, LLC
• Lake City Veteran'S Hospital
• Lake City Vision PA
• Lake Citytherapeutic LLC

• 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 Sep 12, 2011; 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.