Highlands Lake Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1345096 Issued in FL

Legal business name

HIGHLANDS LAKE CENTER, LLC

Practice address

4240 Lakeland Highlands Rd
Lakeland, FL 33813-3113

Phone

(863) 646-8699

Fax

(863) 644-3475

NPI assigned

Oct 13, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Alise Ziolkowski, MBA

Title

VP Finance

Phone

(813) 558-6629

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Highlands Lake Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Skilled nursing facility certification: CCN 105620

Legal name

HIGHLANDS LAKE CENTER LLC

Doing business as

HIGHLANDS LAKE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Sep 29, 1988

Last certification

Mar 7, 2024

Beds

179

Ownership / control type

Corporation

Multi-facility organization

Aston Healthcare

Most recent change of ownership

May 1, 2003

Organization structure

LLCProprietary

Enrollment address

4240 Lakeland Highlands Rd
Lakeland, FL 33813-3113

Nursing home name

HIGHLANDS LAKE CENTER

Affiliated entity

ASTON HEALTH

Listed as

Highlands Lake CenterCCN 105620

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Sep 29, 1988

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

179167.3 residents per day on average

Chain

Aston Health38 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Jose Gabriel Reinoso, MD

  • Internal Medicine Physician
  • Lakeland, FL
  • NPI 1215900659

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alex I Garriga, M.D.

  • Family Medicine Physician
  • Lakeland, FL
  • NPI 1063427748
  NPD (past)

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Byron Renard Dean, DO

  • Family Medicine Physician
  • Lakeland, FL
  • NPI 1104851559

  Nursing home

  Care Compare affiliation
• Haseeb Ahmad Rahman, M.D., D.H.SC., M.SC.

  • Internal Medicine Physician
  • Clearwater, FL
  • NPI 1235366360

  Nursing home

  Care Compare affiliation
• Jolian Mauricio Rios, MD

  • Hospitalist Physician
  • Lakeland, FL
  • NPI 1831455773

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1366430399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 LAKELAND HIGHLANDS RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133113",
            "telephone_number": "863-646-8699",
            "fax_number": "863-644-3475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 LAKELAND HIGHLANDS RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133113",
            "telephone_number": "863-646-8699",
            "fax_number": "863-644-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLANDS LAKE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-13",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "ZIOLKOWSKI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ALISE",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "813-558-6629",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1345096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED AMERICAN",
            "identifier": "C105620",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004438182",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026057600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE HH CONNECTION",
            "identifier": "71-05624",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "K3E",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highlands Lake Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dontae Hicks, LCSW
• Isabel Victoria Hidalgo Acosta I, M.D
• Amanda Lynn Hidalgo, AU.D.
• Highland Center for Orthopedics & Upper Extremity Surgery P a
• Highland Park Dental
• Highlands Occupational Therapy, Inc
• Highlands Occupational Therapy, Inc
• Highpoint Homehealth Services
• Monique Harrigan Hikel
• Cynthia Hilery, NP

• Skilled Nursing Facility in Lakeland, FL
• Providers in Lakeland, 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 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.