Infinity at Lake Eustis, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

INFINITY AT LAKE EUSTIS, LLC

Doing business as

Infinity at Lake Eustis, LLC

Practice address

27 S Center St
Eustis, FL 32726-4147

Phone

(407) 579-0426

NPI assigned

Jan 26, 2021

Last updated

Sep 5, 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

Mrs. Tonya Oliver, NURSE, NHA, MHA

Title

Administrator

Phone

(407) 579-0426

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Infinity at Lake Eustis, LLC Doing business as

Electronic endpoints 2

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1316537046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 S CENTER ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327264147",
            "telephone_number": "407-579-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 S CENTER ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327264147",
            "telephone_number": "407-579-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY AT LAKE EUSTIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-579-0426",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NURSE, NHA, MHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ADDRESS",
            "affiliation": "N",
            "endpointDescription": "BUSINESS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "27 S Center St",
            "city": "Eustis",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327264147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "LOCATION",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "27 S Center St",
            "city": "Eustis",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327264147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Infinity at Lake Eustis, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Infinity at Lake Eustis, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Eustis, FL
• Providers in Eustis, 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 Sep 5, 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.