Lakeland Opco, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LAKELAND OPCO, LLC

Doing business as

Lakeland House

Practice address

213 W Cayuga Dr
Athens, TX 75751-3241

Phone

(903) 677-1272

NPI assigned

Feb 14, 2023

Last updated

Feb 14, 2023By 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. Avi Elias

Title

President

Phone

(727) 639-1419

Specialties & licenses 1

Addresses

Other names 1

• Lakeland House Doing business as

Tax ID family

Lakeland House2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Neches Opco LLC

  dba Neches House

  • Assisted Living Facility
  • Lufkin, TX
  • NPI 1164129771
  NPD tax ID

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1619674223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2568",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286032568",
            "telephone_number": "828-270-0651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 W CAYUGA DR",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757513241",
            "telephone_number": "903-677-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "ELIAS",
        "authorized_official_first_name": "AVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-639-1419",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeland House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bruce Edward Kocian, RPH
• Steven M Koerth, M.D.
• Kristopher Ryan Kohout
• Lab Direct, LLC
• Lakeland Medical Associates
• Robbin Renee Langston, WHCNP
• Vanessa Laws, PA-C
• Leah Harris Counseling LLC
• Kenneth P Lemmon, M.D.
• Lincare Inc.

• Assisted Living Facility in Athens, TX
• Providers in Athens, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.