Deviano Lubis

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Practice address

2445 Verde View Dr
Apopka, FL 32703-9211

Phone

(407) 761-5456

NPI assigned

Sep 9, 2016

Last updated

May 11, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lubis Enterprise LLC

  • Assisted Living Facility
  • Belleview, FL
  • NPI 1821545591
  Authorized official Same address or phone

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1548717291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 VERDE VIEW DR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327039211",
            "telephone_number": "407-761-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 VERDE VIEW DR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327039211",
            "telephone_number": "407-761-5456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBIS",
        "first_name": "DEVIANO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-09",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9264339",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101111000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ericka Shelly Lowe, DMD, MS
• Tla Lowery
• Britte Elizabeth Lowther, D.O.
• Jovanny Lozano
• LP Orlando LLC
• Christopher Michael Lucio
• Michelle Nicole Lukasik, PA
• Reinaldo Luna, APRN
• Lian Luo, PT, DPT
• Maa Ashapuri LLC (Apopka Care Pharmacy)

• Assisted Living Facility in Apopka, FL
• Providers in Apopka, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; 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.