Organization Active NPI

The Gardens at Lakeview, LLC

  • Assisted Living Facility
  • Winter Garden, FL
National Provider Identifier
1629310768
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL11585 Issued in FL
Legal business name
THE GARDENS AT LAKEVIEW, LLC
Practice address
30 Garden Ave
Winter Garden, FL 34787-2318
Phone
(407) 614-8402
NPI assigned
Mar 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Authorized official

Name
Kelley Keoppen
Title
Owner
Phone
(407) 947-5687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL11585 FL Primary

Addresses

Primary practice location

30 Garden Ave
Winter Garden, FL 34787-2318

Mailing address

30 Garden Ave
Winter Garden, FL 34787-2318

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1629310768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 GARDEN AVE",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347872318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 GARDEN AVE",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347872318",
            "telephone_number": "407-614-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GARDENS AT LAKEVIEW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "KEOPPEN",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-947-5687"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.