Organization Active NPI

LP Lake Worth LLC

Doing business as Signature HealthCARE of Palm Beach

  • Skilled Nursing Facility
  • Lake Worth, FL
National Provider Identifier
1477744746
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF1544096 Issued in FL
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 LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Networks

  • 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.

Verify at the official NPI Registry.