Organization Active NPI

LWRC Inc

  • Assisted Living Facility
  • Lakeland, FL
National Provider Identifier
1477858520
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL5874 Issued in FL
Legal business name
LWRC INC
Practice address
315 W Peachtree St
Lakeland, FL 33815-1531
Phone
(863) 686-7306
Fax
(863) 680-3375
NPI assigned
Jan 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Authorized official

Name
Mrs. Linda C Wheeler
Title
Vice President
Phone
(863) 686-7306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL5874 FL Primary

Addresses

Primary practice location

315 W Peachtree St
Lakeland, FL 33815-1531

Mailing address

315 W Peachtree St
Lakeland, FL 33815-1531
Phone (863) 686-7306

Other identifiers 1

IdentifierTypeStateIssuer
140465200MedicaidFL

Other names 1

  • Lake Wire Retirement Center Doing business as

National Provider Directory

National Provider Directory

Locations

315 W Peachtree St
Lakeland, FL 33815
Phone (863) 686-7306

NPI Registry JSON

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295568000000",
    "number": "1477858520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W PEACHTREE ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338151531",
            "telephone_number": "863-686-7306",
            "fax_number": "863-680-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W PEACHTREE ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338151531",
            "telephone_number": "863-686-7306",
            "fax_number": "863-680-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LWRC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-01-21",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "863-686-7306",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL5874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140465200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Wire Retirement Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.