Live Oak Hma, LLC

Primary specialty

Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X

License

4314 Issued in FL

Legal business name

LIVE OAK HMA, LLC

Doing business as

Shands Live Oak Regional Medical Center

Practice address

1100 11TH St SW
Live Oak, FL 32064-3608

Phone

(386) 362-0800

NPI assigned

Nov 14, 2017

Organization subpart

Yes

Parent organization

LIVE OAK HMA, LLCAs reported in NPPES

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

Authorized official

Name

Paula Lalor

Title

Director / Delegated Official

Phone

(615) 925-4565

Specialties & licenses 1

Addresses

Other names 1

• Shands Live Oak Regional Medical Center Doing business as

Part of

Live Oak Hma LLC

Locations

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510617600000",
    "number": "1720591613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 11TH ST SW",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320643608",
            "telephone_number": "386-362-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 11TH ST SW",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320643608",
            "telephone_number": "386-362-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE OAK HMA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIVE OAK HMA, LLC",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "DIRECTOR / DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "615-925-4565"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "FL",
            "license": "4314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shands Live Oak Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Live Oak Family Practice, LLC
• Live Oak Hma Medical Group, LLC
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• Live Oak Hma, LLC (Shands Live Oak Regional Medical Center)
• Live Oak Hma, LLC (Shands Live Oak Medical Group)
• Peggy Livingston
• Loyal Passion Inc
• LP Live Oak LLC (Surrey Place Care Center)
• LT Pro Health Care Solutions
• Kathy Lumpkins

• Medicare Defined Swing Bed Hospital Unit in Live Oak, FL
• Providers in Live Oak, FL by specialty
• Medicare Defined Swing Bed Hospital Unit in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; 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.