Sandlake Living Assisting Home

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

SANDLAKE LIVING ASSISTING HOME

Practice address

7798 Ortega Bluff Pkwy
Jacksonville, FL 32244-8209

Phone

(904) 779-6878

Fax

(904) 772-7733

NPI assigned

May 24, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lashawnda Kim Lewis

Title

Ceo

Phone

(904) 779-6878

Specialties & licenses 1

Addresses

Tax ID family

Sandlake Living Assisted Home2 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.

• Sandlake Living Assisted Home

  • Assisted Living Facility
  • Jacksonville, FL
  • NPI 1578511291
  NPD tax ID

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457306797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7798 ORTEGA BLUFF PKWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322448209",
            "telephone_number": "904-779-6878",
            "fax_number": "904-772-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7798 ORTEGA BLUFF PKWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322448209",
            "telephone_number": "904-779-6878",
            "fax_number": "904-772-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDLAKE LIVING ASSISTING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "LASHAWNDA",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-779-6878",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trevena Nicole Sanders, APRN
• Sukhwinder S Sandhu, M.D.
• Mary Kae Sandidge, FNP-BC
• Adam Jacob Sandin, DO
• Sandlake Living Assisted Home
• E Dayan Sandler, MD
• Jeffrey M Sandler, M.D.
• Allan Sandor, DDS
• Stephanny Sandoval Esparza
• Victoria Elizabeth Sandoval, DMD

• Assisted Living Facility (Mental Illness) in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.