LP Port Charlotte LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF14510962 Issued in FL

Legal business name

LP PORT CHARLOTTE LLC

Doing business as

Signature HealthCARE of Port Charlotte

Practice address

4033 Beaver LN
Port Charlotte, FL 33952-9206

Phone

(941) 625-3200

Fax

(941) 624-2358

NPI assigned

Jul 26, 2007

Last updated

Oct 2, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

LP O HOLDINGS LLCAs reported in NPPES

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

Authorized official

Name

Mr. John Harrison

Title

Cfo

Phone

(502) 568-7800

Specialties & licenses 1

Addresses

Other names 1

• Signature HealthCARE of Port Charlotte Doing business as

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285977600000",
    "number": "1669662748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 BLUEGRASS PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992361",
            "telephone_number": "502-568-7800",
            "fax_number": "502-568-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 BEAVER LN",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529206",
            "telephone_number": "941-625-3200",
            "fax_number": "941-624-2358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LP PORT CHARLOTTE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LP O HOLDINGS LLC",
        "enumeration_date": "2007-07-26",
        "last_updated": "2010-10-02",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "502-568-7800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF14510962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature HealthCARE of Port Charlotte",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Lopez, PSY.D.
• Madeline Lopez
• Mario J Lopez, MD
• Lovely Physician Care Corp
• Todd Michael Lovero, O.D.
• Kenneth Lloyd Luberger Jr.
• Stacey Luczejko, ED.S, MA, LPC, NCC
• Katherine Ann Ludeman, ARNP
• Nejda Lugo Mandes, MD
• Luis F Fernandez MD PA

• Skilled Nursing Facility in Port Charlotte, FL
• Providers in Port Charlotte, 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 2, 2010; 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.