Lakeside SNF Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LAKESIDE SNF OPERATIONS LLC

Practice address

11411 Armsdale Rd
Jacksonville, FL 32218-3311

Phone

(904) 714-3793

NPI assigned

Feb 3, 2022

Organization subpart

No

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

Authorized official

Name

Solomon Klein

Title

Member

Phone

(347) 909-1811

Specialties & licenses 1

Addresses

Other names 1

• Lakeside Center for Rehabilitation and Healing Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Skilled nursing facility certification: CCN 105980

Legal name

LAKESIDE SNF OPERATIONS LLC

Doing business as

LAKESIDE CENTER FOR REHABILITATION AND HEALING

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 24, 1998

Last certification

Nov 2, 2023

Beds

122

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Jan 5, 2022 in DE

Enrollment address

11411 Armsdale Rd
Jacksonville, FL 32218-3311

Nursing home name

LAKESIDE CENTER FOR REHABILITATION AND HEALING

Affiliated entity

SUMMIT CARE

Listed as

Lakeside Center for Rehabilitation and HealingCCN 105980

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

2 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jan 24, 1998

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

122107.7 residents per day on average

Chain

Summit Care22 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Dmitri Orleanski, M.D.

  • Internal Medicine Physician
  • Lake Mary, FL
  • NPI 1770976557

  Nursing home

  Care Compare affiliation
• Michael V Sharpe, M.D.

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1750382669

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1699429167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11411 ARMSDALE RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322183311",
            "telephone_number": "904-714-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11411 ARMSDALE RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322183311",
            "telephone_number": "904-714-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE SNF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "SOLOMON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "347-909-1811"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Center for Rehabilitation and Healing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shneequa Lake
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• Lakeshore Medical Care Center, Inc
• Lakeside Anesthesia Group LLC
• Lakeside Dental Surgery Center LLC
• Lakeview Health Systems, LLC
• Lakewood Chiropractic Clinic, PA
• Lakewood Dentistry, LLC
• Laura Ann Lakey
• Ajay Lakhanpal, OTR/L

• Skilled Nursing Facility in Jacksonville, FL
• Providers in Jacksonville, 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 Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.