LBC Estero LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LBC ESTERO LLC

Practice address

22900 Lyden Dr
Estero, FL 33928-7044

Phone

(239) 221-6120

NPI assigned

Oct 20, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Gregg Fox

Title

Vice President of Operations

Phone

(651) 342-2780

Specialties & licenses 1

Addresses

Other names 1

• Gull Point at Estero Doing business as

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1700549383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2301",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550822301",
            "telephone_number": "651-342-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22900 LYDEN DR",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339287044",
            "telephone_number": "239-221-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LBC ESTERO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "GREGG",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "651-342-2780",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gull Point at Estero",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Lambert, AP, MMP
• Melissa C Lamisere
• Sara K Lane, MD
• Alexander Vincent Lange, PHARMD
• Messalina Lavin, DMD
• Dieu Huyen Thi Le, PHARM D.
• Jennifer Le, PHARMD
• Thao Mai Le, RPH
• Lee County Medical Investors
• Lee Health System Inc

• Assisted Living Facility in Estero, FL
• Providers in Estero, 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 Oct 22, 2021; 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.