LP Live Oak LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1540096 Issued in FL

Legal business name

LP LIVE OAK LLC

Doing business as

Surrey Place Care Center

Practice address

110 Lee Ave SE
Live Oak, FL 32064-9504

Phone

(386) 364-5961

Fax

(386) 364-1656

NPI assigned

Aug 5, 2007

Last updated

Oct 19, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

LP CS HOLDINGS LLCAs reported in NPPES

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

• Surrey Place Care Center Doing business as

Locations

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": "1568653830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 BLUEGRASS PARKWAYD",
            "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": "110 LEE AVE SE",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320649504",
            "telephone_number": "386-364-5961",
            "fax_number": "386-364-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LP LIVE OAK 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": "SNF1540096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surrey Place Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Live Oak, FL
• Providers in Live Oak, 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 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.