Lake Park SNF LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF14720952 Issued in FL

Legal business name

LAKE PARK SNF LLC

Practice address

750 Bayberry Dr
Lake Park, FL 33403-3248

Phone

(561) 881-8144

NPI assigned

Feb 24, 2006

Organization subpart

No

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

Authorized official

Name

Ron Ostroff

Title

Owner

Phone

(954) 358-1660

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Lake Park SNF LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lake Park SNF LLC

  • Skilled Nursing Facility
  • Lake Park, FL
  • NPI 1912106683
  NPD tax ID

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1376519934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7491 W OAKLAND PARK BLVD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333194989",
            "telephone_number": "954-358-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 BAYBERRY DR",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334033248",
            "telephone_number": "561-881-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE PARK SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-24",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "OSTROFF",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-358-1660"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF14720952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030928100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kinseys IV Resources, LLC.
• Edu Anthony Kirindongo, MD
• Jerry William Krape, DDS
• Lake Park Medical Care Center Inc
• Lake Park Podiatry
• Lake Park SNF LLC
• Let Lizz DO It
• Ginou Louidor, ARNP
• Love for Childhood Behavioral Services Inc
• Jazlyn Lovely

• Skilled Nursing Facility in Lake Park, FL
• Providers in Lake Park, 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 Jul 3, 2008; 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.