MF Lake Eustis LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MF LAKE EUSTIS LLC

Doing business as

Lake Eustis Health and Rehabilitation Center

Practice address

411 W Woodward Ave
Eustis, FL 32726-4554

Phone

(352) 357-3565

NPI assigned

Jun 9, 2008

Organization subpart

Yes

Parent organization

FLORIDA FACILITIES LLCAs reported in NPPES

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

Authorized official

Name

James Richardson

Title

President

Phone

(850) 430-0000

Specialties & licenses 1

Addresses

Other names 1

• Lake Eustis Health and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1629238159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SOUTH PALAFOX PLACE",
            "address_2": "SUITE 400",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W WOODWARD AVE",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327264554",
            "telephone_number": "352-357-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MF LAKE EUSTIS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA FACILITIES LLC",
        "enumeration_date": "2008-06-09",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-430-0000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Eustis Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric John Meeker, DDS PA
• Vernon Dale Meeks, D.M.D.
• Rosarlem S Mejias, ARNP
• Jean Ricot Merissaint
• Terri Anne Meyer, LMHC
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• Mid-Florida Pathology LLC
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• Erin Milburn
• Lauren Miller, SLPA

• Skilled Nursing Facility in Eustis, FL
• Providers in Eustis, 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 5, 2015; 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.