SF Lake Placid LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SF LAKE PLACID LLC

Doing business as

Lake Placid Health and Rehabilitation Center

Practice address

125 Tomoka Blvd S
Lake Placid, FL 33852-8123

Phone

(863) 465-7200

NPI assigned

Jun 3, 2008

Last updated

Oct 5, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

FLORIDA FACILITIES LLCAs reported in NPPES

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

Authorized official

Name

James Richardson

Title

President

Phone

(850) 430-0000

Specialties & licenses 1

Addresses

Other names 1

• Lake Placid Health and Rehabilitation Center Doing business as

Part of

SF Lake Placid LLC

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 Máximo (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)

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1427217637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SOUTH PALAFOX PLACE",
            "address_2": "SUITE 400",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 TOMOKA BLVD S",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338528123",
            "telephone_number": "863-465-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SF LAKE PLACID LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA FACILITIES LLC",
        "enumeration_date": "2008-06-03",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-430-0000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Placid Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Schlosser, PT
• Joel Lee Schroeder, D.D.S.
• Sebring Hma Physician Management LLC (Highlands Medical Group-Lake Placid)
• Stephanie Seidl
• SF Lake Placid Alf, LLC
• Shamrock Drugs, LLC (Shamrock Pharmacy)
• Neil Stuart Shechtman, M.D.
• William Nolan Shriner, DDS
• Rene Smit, R.P.T.
• Southern Life Operating Investments LLC (Southern Lifestyles Senior Living Center)

• Skilled Nursing Facility in Lake Placid, FL
• Providers in Lake Placid, 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 Oct 5, 2015; 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.