Lakeland Alf Management, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LAKELAND ALF MANAGEMENT, LLC

Practice address

747 Bon Air St
Lakeland, FL 33805-4631

Phone

(863) 688-1196

Fax

(863) 687-7707

NPI assigned

Nov 7, 2016

Organization subpart

No

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

Authorized official

Name

Rajan Amin

Title

Director of Operations

Phone

(330) 541-3483

Specialties & licenses 1

Addresses

Other names 1

• Lakeland Manor ALF Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1407398597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 BON AIR ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 BON AIR ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054631",
            "telephone_number": "863-688-1196",
            "fax_number": "863-687-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND ALF MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "RAJAN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "330-541-3483"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeland Manor ALF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lake Morton Retirement Home
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• Lake Parker Facility Operations LLC
• Lake Parker SNF Operations LLC
• Lake Wire Pharmacy Inc
• Lakeland Allergy Asthma & Immunology
• Lakeland Behavior Services, LLC
• Lakeland Behavioral Services Inc
• Lakeland BG Opco LLC
• Lakeland Birth and Gynecology LLC

• Assisted Living Facility in Lakeland, FL
• Providers in Lakeland, 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 Nov 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.