Organization Active NPI

Lakeland Investors LLC

  • Skilled Nursing Facility
  • Lakeland, FL
National Provider Identifier
1720089394
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LAKELAND INVESTORS LLC
Practice address
1350 Sleepy Hill Rd
Lakeland, FL 33810-3800
Phone
(863) 858-4402
Fax
(863) 858-6759
NPI assigned
Aug 4, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Authorized official

Name
Mr. Joseph D. Mitchell
Title
President
Phone
(850) 386-2831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X FL Primary

Addresses

Primary practice location

1350 Sleepy Hill Rd
Lakeland, FL 33810-3800

Mailing address

2123 Centre Pointe Blvd
Tallahassee, FL 32308-4930
Phone (850) 386-2831

Other identifiers 1

IdentifierTypeStateIssuer
026556000MedicaidFL

Other names 1

  • Valencia Hills Health & Rehabilitation Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040602000433 FL Part A Provider - Skilled Nursing Facility 8527040872 Practice locations: Lakeland, FL

Skilled nursing facility certification: CCN 105301

Legal name
LAKELAND INVESTORS LLC
Doing business as
VALENCIA HILLS HEALTH AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Feb 16, 1977
Last certification
Mar 7, 2024
Beds
249
Ownership / control type
Corporation
Multi-facility organization
Summit Care II LLC
Organization structure
LLCProprietary
Incorporated
May 2, 2003 in FL
Enrollment address
1350 Sleepy Hill Road
Lakeland, FL 33810-3800
Nursing home name
VALENCIA HILLS HEALTH AND REHABILITATION CENTER
Affiliated entity
SUMMIT CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Valencia Hills Health and Rehabilitation CenterCCN 105301
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Feb 16, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
249216.0 residents per day on average
Chain
Summit Care22 facilities in the chain
Penalties (3 years)
6Fines totaling $62,766

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0720536Valencia Hills Health and Rehabilitation Ctr1350 Sleepy Hill Rd, Lakeland, FL 33810Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1350 Sleepy Hill Rd
Lakeland, FL 33810
Phone (863) 529-1588

Networks

  • 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)…
  • 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)

Ownership & related parties

All disclosed owners & managing parties 26

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

NameRoleSinceShare
Individual Adp of the SNF Aug 4, 2023
Individual Indirect Ownership Interest Aug 2, 2023 2.23%
Individual Indirect Ownership Interest Aug 2, 2023 1.13%
John McManus Individual Corporate DirectorVP of Finance Aug 4, 2023
Adp of the SNF Aug 3, 2023
Joseph Mitchell Individual 5% Or Greater Indirect Ownership Interest Sep 4, 2003 30.25%
Organization, Lakewood, NJ LLC, Owned by another organization or individual Indirect Ownership Interest Aug 2, 2023 1.13%
Individual Adp of the SNF Aug 4, 2023
V J T Vailoces Individual Adp of the SNF Mar 6, 2026
Madison SNF Operations LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest Aug 2, 2023 45%
Alan Davis Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2014 24.75%
Corporate Director Jan 1, 2014 24.75%
Cynthia Ayala Individual Operational/Managerial Control Apr 21, 2025
Adp of the SNF Apr 21, 2025
Individual Adp of the SNF Aug 4, 2023
CH Summit Care Holdings LLC Organization, Lakewood, NJ LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 2, 2023 20.25%
Individual Adp of the SNF Aug 3, 2023
Individual Indirect Ownership Interest Aug 2, 2023 1.13%
Organization, Tallahassee, FL Adp of the SNF Dec 21, 2025
SK Summit Care II Holdings LLC Organization, Lakewood, NJ LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 2, 2023 22.5%
Organization, Baltimore, MD Financial institution Adp of the SNF Dec 21, 2025
Yisroel E Herzka Individual 5% Or Greater Indirect Ownership Interest Aug 2, 2023 20.25%
Summit Care Management LLC Organization, Tallahassee, FL LLC, Management services company Operational/Managerial Control Aug 4, 2023
Adp of the SNF Dec 21, 2025
Seam Ny 2020 Trust Organization, Brooklyn, NY 5% Or Greater Indirect Ownership Interest Aug 4, 2023 21.39%
Organization, Hunt Valley, MD LLC Adp of the SNF Sep 5, 2003
Organization, Lakewood, NJ LLC, Owned by another organization or individual Indirect Ownership Interest Aug 2, 2023 1.13%
Individual Adp of the SNF Aug 4, 2023
Summit Care Group II Operations Holdings LLC Organization, Lakewood, NJ LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 2, 2023 45%
Lakeland Holding Company LLC Organization, Tallahassee, FL LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 4, 2003 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 10

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 4

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

NPI Registry JSON

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1720089394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 CENTRE POINTE BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084930",
            "telephone_number": "850-386-2831",
            "fax_number": "850-386-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 SLEEPY HILL RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338103800",
            "telephone_number": "863-858-4402",
            "fax_number": "863-858-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND INVESTORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-04",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-386-2831",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026556000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valencia Hills Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Valencia Hills Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.