LP Ormond Beach LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1397096 Issued in FL

Legal business name

LP ORMOND BEACH LLC

Doing business as

Signature HealthCARE of Ormond

Practice address

103 Clyde Morris Blvd
Ormond Beach, FL 32174-5982

Phone

(386) 673-0450

Fax

(386) 676-1302

NPI assigned

Aug 1, 2007

Last updated

Feb 25, 2022By 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

Mr. John Harrison

Title

Cfo

Phone

(502) 568-7800

Specialties & licenses 1

Addresses

Other names 1

• Signature HealthCARE of Ormond Doing business as

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1518157841",
    "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": "103 CLYDE MORRIS BLVD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745982",
            "telephone_number": "386-673-0450",
            "fax_number": "386-676-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LP ORMOND BEACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "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": "SNF1397096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature HealthCARE of Ormond",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Signature HealthCARE of Ormond",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raul Lopez, M.D.
• Chantelle Losey, MA, CCC-SLP
• Louis Latulippe DMD PA
• Karchye Love
• Rolando Lozano, MD
• Carole Eag Luby, ED.D., LMHC
• Arthur Lukasiewicz, ACUPUNCTURIST
• Jenell Lunn
• Lauri Ann Lupoli, OTR/L
• Katelyn E Lynch

• Skilled Nursing Facility in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.