Lakewales Health Care Operations Company, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11898 Issued in FL

Legal business name

LAKEWALES HEALTH CARE OPERATIONS COMPANY, LLC

Practice address

701 Overlook Dr
Winter Haven, FL 33884-1671

Phone

(863) 318-5000

Fax

(863) 324-7251

NPI assigned

Dec 16, 2013

Organization subpart

No

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

Authorized official

Name

Cullen S Gibson

Title

Vice President/Member

Phone

(765) 664-5400

Specialties & licenses 1

Addresses

Other names 1

• Bellatage Assisted Living Doing business as

Tax ID family

Astoria Health and Rehabilitation Center2 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 Wales Health Care Operations Company LLC

  • Skilled Nursing Facility
  • Winter Haven, FL
  • NPI 1245547868
  NPD tax ID

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387152000000",
    "number": "1376964403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 N WABASH RD",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469521300",
            "telephone_number": "765-664-5400",
            "fax_number": "765-664-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 OVERLOOK DR",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338841671",
            "telephone_number": "863-318-5000",
            "fax_number": "863-324-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWALES HEALTH CARE OPERATIONS COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-16",
        "last_updated": "2013-12-16",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "CULLEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VICE PRESIDENT/MEMBER",
        "authorized_official_telephone_number": "765-664-5400"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellatage Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lakeland Regional Health System, Inc.
• Lakeland Regional Health Systems, Inc.
• Lakeland Regional Health Systems, Inc.
• Lakeland Regional Health Systems, Inc.
• Lakeland Regional Medical Center, Inc.
• Sonali S Lakhani, M.D.
• Bao Thien Lam
• Kataceya Angela Lamanna, APRN
• Cary Jake Lambert Jr., M.D.
• Jessica Lambeth, PA-C

• Assisted Living Facility in Winter Haven, FL
• Providers in Winter Haven, 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 Dec 16, 2013; 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.