Lake Morton Retirement Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL5217 Issued in FL

Legal business name

LAKE MORTON RETIREMENT HOME

Practice address

610 E Lime St
Lakeland, FL 33801-5444

Phone

(863) 937-9114

Fax

(863) 937-9117

NPI assigned

Aug 31, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Louis Ford Garrard V

Title

Owner

Phone

(863) 284-6061

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1316170889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 E LIME ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015444",
            "telephone_number": "863-937-9114",
            "fax_number": "863-937-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E LIME ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015444",
            "telephone_number": "863-937-9114",
            "fax_number": "863-937-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE MORTON RETIREMENT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-31",
        "last_updated": "2009-08-31",
        "status": "A",
        "authorized_official_last_name": "GARRARD",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "FORD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-284-6061",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "V"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL5217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanyah Laguerre
• Nyamekye Laird, PH.D.
• Reyna Isabel Lajara, M.D.
• Lake Gibson Village,LLC
• Lake Morton Plaza, LLC
• Lake Morton Senior Living LLC
• Lake Parker Facility Operations LLC (Consulate Health Care at Lake Parker)
• Lake Parker SNF Operations LLC (Charming Lakes Rehab)
• Lake Wire Pharmacy Inc
• Lakeland Alf Management, LLC (Lakeland Manor ALF)

• Assisted Living Facility in Lakeland, FL
• Providers in Lakeland, 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 31, 2009; 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.