LP Orange Park LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF13900961 Issued in FL

Legal business name

LP ORANGE PARK LLC

Doing business as

Signature HealthCARE of Orange Park

Practice address

2029 Professional Center Dr
Orange Park, FL 32073-4461

Phone

(904) 272-6194

Fax

(904) 272-2085

NPI assigned

Jul 26, 2007

Last updated

Oct 19, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

LP O HOLDINGS LLCAs reported in NPPES

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

Authorized official

Name

Mr. John Harrison

Title

Cfo

Phone

(502) 568-7800

Specialties & licenses 1

Addresses

Other names 1

• Signature HealthCARE of Orange Park Doing business as

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1306036488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 BLUEGRASS PARKWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992361",
            "telephone_number": "502-568-7800",
            "fax_number": "502-568-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 PROFESSIONAL CENTER DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734461",
            "telephone_number": "904-272-6194",
            "fax_number": "904-272-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LP ORANGE PARK LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LP O HOLDINGS LLC",
        "enumeration_date": "2007-07-26",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "502-568-7800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF13900961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature HealthCARE of Orange Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Loving Hands in the Community LLC
• Abigail M Lowe, DO
• McKenzie Lowe
• Maribel Lozada-Solberg
• Antonio Desean Lozada
• Cristina Luciano, M.D.
• John Randall Lunde, DNP, APRN
• Khrystal Luntsford
• Thomas Lupoli, D.O
• Jenna Lupse

• Skilled Nursing Facility in Orange Park, FL
• Providers in Orange Park, 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 Oct 19, 2010; 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.