Lisenby LLLP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1296096 Issued in FL

Legal business name

LISENBY LLLP

Doing business as

Lisenby on Lake Caroline

Practice address

1400 West Eleventh Street
Panama City, FL 32401-1896

Phone

(850) 785-6121

Fax

(850) 747-3696

NPI assigned

Sep 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth H. Schultz

Title

President

Phone

(407) 645-3211

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lisenby on Lake Caroline Doing business as

Tax ID family

Lisenby LLLP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lisenby LLLP

  dba Lisenby on Lake Caroline

  • Assisted Living Facility
  • Panama City, FL
  • NPI 1447392360
  NPD tax ID

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1306940606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 STATE ROAD 436",
            "address_2": "SUITE 300",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922285",
            "telephone_number": "407-645-3211",
            "fax_number": "407-628-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 WEST ELEVENTH STREET",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324011896",
            "telephone_number": "850-785-6121",
            "fax_number": "850-747-3696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISENBY LLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-645-3211",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1296096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020398000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lisenby on Lake Caroline",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda K Fox MD PA
• Vanquiece Lashunn Lindsey Smith, ARNP-C
• Ann Plauche Lirette, LCSW
• Lisa Dronkers
• Lisenby Home Care, Inc.
• Lisenby LLLP (Lisenby on Lake Caroline)
• Tara Livengood, PSYD
• Livinglitemd
• Rhonda Livingston, PTA
• LJ Rouse PLLC

• Skilled Nursing Facility in Panama City, FL
• Providers in Panama 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 Jun 2, 2014; 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.