Active NPI
LP Lake Worth LLC
Doing business as Signature HealthCARE of Palm Beach
- Skilled Nursing Facility
- Lake Worth, FL
National Provider Identifier
1477744746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- SNF1544096
- Legal business name
- LP LAKE WORTH LLC
- Doing business as
- Signature HealthCARE of Palm Beach
- Practice address
- 4405 Lakewood Rd
Lake Worth, FL 33461-3414 - Phone
- (561) 969-1400
- Fax
- (561) 969-0121
- NPI assigned
- Aug 5, 2007
- Organization subpart
- Yes
- Parent organization
- LP CS HOLDINGS LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Harrison
- Title
- Cfo
- Phone
- (502) 568-7800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | SNF1544096 | FL | Primary |
Addresses
Primary practice location
4405 Lakewood Rd
Lake Worth, FL 33461-3414
Mailing address
12201 Bluegrass Parkway
Louisville, KY 40299-2361
Phone (502) 568-7800
Other names 1
- Signature HealthCARE of Palm Beach
National Provider Directory
National Provider DirectoryNetworks
- HealthSun Health Plans Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287446400000",
"number": "1477744746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12201 BLUEGRASS PARKWAY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402992361",
"telephone_number": "502-568-7800",
"fax_number": "502-568-7150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4405 LAKEWOOD RD",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334613414",
"telephone_number": "561-969-1400",
"fax_number": "561-969-0121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LP LAKE WORTH LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LP CS HOLDINGS LLC",
"enumeration_date": "2007-08-05",
"last_updated": "2010-10-19",
"status": "A",
"authorized_official_last_name": "HARRISON",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "502-568-7800",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "FL",
"license": "SNF1544096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Signature HealthCARE of Palm Beach",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.