Sa-Lakeland, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF14530961 Issued in FL

Legal business name

SA-LAKELAND, LLC

Practice address

1919 Lakeland Hills Blvd
Lakeland, FL 33805-2901

Phone

(863) 688-5612

Fax

(863) 687-8870

NPI assigned

Jun 22, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Alex Paley

Title

Coo

Phone

(914) 390-4363

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Palm Terrace of Lakeland Doing business as

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398988800000",
    "number": "1477559672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338052901",
            "telephone_number": "863-688-5612",
            "fax_number": "863-688-1398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338052901",
            "telephone_number": "863-688-5612",
            "fax_number": "863-687-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SA-LAKELAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2014-05-02",
        "status": "A",
        "authorized_official_last_name": "PALEY",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "914-390-4363",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF14530961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028262600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Terrace of Lakeland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robin Deann Ryan, APRN
• Elizabeth Joan Ryerkerk
• Danielle Marie Rylott, APRN, NP-C
• Terry L Rzepkowski, PT
• S. Matthew Schacht DDS, PA
• Paul Stanford Saari, DDS
• Michael Sabina, DO
• Cassandra Lynn Sabol, IMHC
• Maron Sabol, LCSW
• Patricia Lynn Sabol, L.M.H.C

• All providers in Lakeland, FL
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; 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.