Lakeview Terrace Health Care Center LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

SNF12860961 Issued in FL

Legal business name

LAKEVIEW TERRACE HEALTH CARE CENTER LLC

Doing business as

Lakeview Terrace Skilled Nursing Facility

Practice address

110 Lodge Terrace Drive
Altoona, FL 32702

Phone

(352) 669-2133

Fax

(352) 669-1170

NPI assigned

Sep 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth H. Schultz

Title

President

Phone

(407) 645-3211

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lakeview Terrace Skilled Nursing Facility Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Community Supports, Inc.

  dba Rehabilitation and Health Care Center

  • Skilled Nursing Facility
  • Altoona, FL
  • NPI 1447708482

  Member Of

  NPD member

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1639271349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 STATE ROAD 436",
            "address_2": "SUITE 300",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922285",
            "telephone_number": "407-645-3211",
            "fax_number": "407-628-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LODGE TERRACE DRIVE",
            "city": "ALTOONA",
            "state": "FL",
            "postal_code": "32702",
            "telephone_number": "352-669-2133",
            "fax_number": "352-669-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW TERRACE HEALTH CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-645-3211",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "SNF12860961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0259225000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeview Terrace Skilled Nursing Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Harmony Hills Behavioral Health, LLC
• Harmony Hills, LLC.
• Harmony Hills, LLC.
• Harmony Hills, LLC.
• Lakeview Personal Care Services, LLC
• Lakeview Terrace Home Health Services, LLC
• Delfin D Lamban Jr.
• Edith Louis
• Lowell F. Clark MD PA
• Alma F Martin, LPN

• Assisted Living Facility in Altoona, FL
• Providers in Altoona, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.