Arcadia Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF12760961 Issued in FL

Legal business name

ARCADIA HEALTHCARE LLC

Doing business as

Dove Healthcare at Lake Wales

Practice address

730 N Scenic Hwy
Lake Wales, FL 33853-3208

Phone

(863) 676-1512

Fax

(863) 676-6315

NPI assigned

Jun 30, 2005

Last updated

Nov 12, 2009By 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. Christina Carol Roop

Title

Director of Reimbursement

Phone

(863) 324-4739

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dove Healthcare at Lake Wales Doing business as

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1326045899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 N SCENIC HWY",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338533208",
            "telephone_number": "863-676-1512",
            "fax_number": "863-676-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N SCENIC HWY",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338533208",
            "telephone_number": "863-676-1512",
            "fax_number": "863-676-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCADIA HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "ROOP",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "863-324-4739",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF12760961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031934100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dove Healthcare at Lake Wales",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Lake Wales, FL
• Providers in Lake Wales, 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 Nov 12, 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.