Organization Active NPI

SS Polk II Community HC LLC

Doing business as Groves Center

  • Skilled Nursing Facility
  • Lake Wales, FL
National Provider Identifier
1376452763
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SS POLK II COMMUNITY HC LLC
Doing business as
Groves Center
Practice address
512 S 11TH St
Lake Wales, FL 33853-4901
Phone
(863) 676-8502
NPI assigned
Sep 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Authorized official

Name
Alicia Cepeda
Title
Senior Legal/Risk Manager
Phone
(385) 342-5175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

512 S 11TH St
Lake Wales, FL 33853-4901

Mailing address

512 S 11TH St
Lake Wales, FL 33853-4901

Other names 1

  • Groves Center Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1788307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1376452763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 S 11TH ST",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 S 11TH ST",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534901",
            "telephone_number": "863-676-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SS POLK II COMMUNITY HC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "CEPEDA",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "SENIOR LEGAL/RISK MANAGER",
        "authorized_official_telephone_number": "385-342-5175"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Groves Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Wales, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.