Lakes Quality Care, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12199 Issued in FL

Legal business name

LAKES QUALITY CARE, INC.

Practice address

3661 NW 29TH St
Lauderdale Lakes, FL 33311-1846

Phone

(954) 730-8800

Fax

(954) 730-8800

NPI assigned

Jun 26, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Angella Elliott

Title

Owner

Phone

(954) 730-8800

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1669736492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3661 NW 29TH ST",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333111846",
            "telephone_number": "954-730-8800",
            "fax_number": "954-730-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 NW 29TH ST",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333111846",
            "telephone_number": "954-730-8800",
            "fax_number": "954-730-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES QUALITY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "ANGELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-730-8800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LICENSE NUMBER",
            "identifier": "AL12199",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Gabriella Kremer
• Kenneth T Kronheim
• Kumar Rajagopalan MD PA
• Rubens Laguerre
• Lakes Active Senior Living, Inc.
• Lanshel, Inc.
• Kerri Tiffany Latchman, RBT B.S
• Latino Medical Center III, Inc
• Latino Medicasl Center 111 Inc
• Lauderdale Dentistry for Kids LLC

• Assisted Living Facility in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, 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 26, 2012; 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.