Foxcare at Lakeside LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FOXCARE AT LAKESIDE LLC

Doing business as

Lakeside Nursing and Rehabilitation Center

Practice address

11411 Armsdale Rd
Jacksonville, FL 32218-3311

Phone

(904) 714-3793

Fax

(904) 714-3799

NPI assigned

Oct 5, 2021

Last updated

Oct 5, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Betsy Anne Mead, RN, MSN, MBA

Title

Chief Operating Officer

Phone

(813) 758-9263

Specialties & licenses 1

Addresses

Other names 1

• Lakeside Nursing and Rehabilitation Center Doing business as

Locations

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1700558947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 SADLER RD STE 201",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320340415",
            "telephone_number": "904-321-1909",
            "fax_number": "904-321-1790"
        },
        {
            "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",
            "fax_number": "904-714-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOXCARE AT LAKESIDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "MEAD",
        "authorized_official_first_name": "BETSY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "813-758-9263",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MSN, MBA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Elizabeth Fox, PA-C
• Renee Theresa Fox, LMHC
• Ryann Fox
• Thomas Patrick Fox, M.D.
• William Christopher Fox, M.D.
• Krystal Lakay Foxworth
• Lateya C Foxx, D.O.
• Elise Foy, ARNP
• Tra'Chella J Foy, M.D.
• Lindsey Fragale, MD

• 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 Oct 5, 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.