NPIMap

Organization Active NPI

Community Supports, Inc.

Doing business as Rehabilitation and Health Care Center

  • Skilled Nursing Facility
  • Altoona, FL
National Provider Identifier
1447708482
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF12860961 Issued in FL
Legal business name
COMMUNITY SUPPORTS, INC.
Doing business as
Rehabilitation and Health Care Center
Practice address
110 Lodge Terrace Dr
Altoona, FL 32702-9668
Phone
(352) 669-2133
Fax
(352) 669-1170
NPI assigned
Sep 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Authorized official

Name
Mr. Kenneth Schultz
Title
President
Phone
(407) 645-3211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF12860961 FL Primary

Addresses

Primary practice location

110 Lodge Terrace Dr
Altoona, FL 32702-9668

Mailing address

1890 State Road 436
Suite 300
Winter Park, FL 32792-2228
Phone (407) 645-3211

Other names 1

  • Rehabilitation and Health Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161208000161 FL Part A Provider - Skilled Nursing Facility 2567498504 Practice locations: Altoona, FL

Skilled nursing facility certification: CCN 106068

Legal name
COMMUNITY SUPPORTS INC
Doing business as
LAKEVIEW TERRACE REHABILITATION AND HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 28, 2005
Last certification
Jul 10, 2024
Beds
40
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Enrollment address
110 Lodge Terrace Drive
Rehabilitation and Health Care Center
Altoona, FL 32702-9668
Nursing home name
LAKEVIEW TERRACE REHAB AND HEALTH CARE CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lakeview Terrace Rehab and Health Care CenterCCN 106068 · All quality measures
Overall star rating
4 of 5
Health inspections
2 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jun 28, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4029.0 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Community Supports Inc2 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.

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

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 Maximo (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)

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Gregory Schultz Individual Operational/Managerial Control Oct 1, 2023
Adp of the SNF Oct 1, 2023
Lowell Frederick Clark Individual Adp of the SNF Jun 1, 2018
Tammi Frisbie Individual Operational/Managerial ControlAdministrator Sep 15, 2021
Adp of the SNF Jul 28, 2025
Dsi Management LLC Organization, Winter Park, FL LLC, Management services company, For-profit Operational/Managerial Control Dec 31, 2016
Adp of the SNF Jul 28, 2025
Amber Folk Individual Corporate DirectorBoard Member Jun 16, 2021
Kenneth Schultz Individual Corporate OfficerPresident/Secretary Dec 16, 2004
Raleigh Seay Individual Corporate DirectorBoard of Director Jun 16, 2021
Donald Payton Individual Corporate DirectorBoard of Director Jun 15, 2022
Shannon Koromilas Individual Corporate DirectorBoard of Director Dec 20, 2017
Jonathan Hamrick Individual Corporate DirectorBoard of Director Mar 21, 2018

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lakeview Terrace Home Health Services, L.L.C.Altoona, FL, CCN 109382 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jun 12, 2006

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1447708482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 STATE ROAD 436",
            "address_2": "SUITE 300",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922228",
            "telephone_number": "407-645-3211",
            "fax_number": "407-628-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LODGE TERRACE DR",
            "city": "ALTOONA",
            "state": "FL",
            "postal_code": "327029668",
            "telephone_number": "352-669-2133",
            "fax_number": "352-669-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SUPPORTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-645-3211",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF12860961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehabilitation and Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Altoona, FL

Sources for this page

Verify at the official NPI Registry.