Everest Rehabilitation Hospital Lakeland LLC

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

Legal business name

EVEREST REHABILITATION HOSPITAL LAKELAND LLC

Practice address

1080 US Highway 92 W
Auburndale, FL 33823-9622

Phone

(469) 713-1145

NPI assigned

Apr 6, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Omar Jenkins

Title

Cfo

Phone

(469) 223-5749

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1619662673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 BELT LINE RD STE 310",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547124",
            "telephone_number": "469-713-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 US HIGHWAY 92 W",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338239622",
            "telephone_number": "469-713-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVEREST REHABILITATION HOSPITAL LAKELAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "469-223-5749",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.