Active NPI
LSV Investors LLC
Doing business as Tampa Lakes Health and Rehabilitation Center
- Skilled Nursing Facility
- Lutz, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- SNF130471059
- Legal business name
- LSV INVESTORS LLC
- Doing business as
- Tampa Lakes Health and Rehabilitation Center
- Practice address
- 750 Hayes Road
Lutz, FL 33549-6132 - Phone
- (850) 386-2831
- Fax
- (850) 386-1552
- NPI assigned
- Dec 16, 2014
- Last updated
- Jun 8, 2017
- Organization subpart
- Yes
- Parent organization
- SUMMIT CARE II INC
NPPES NPI Registry
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | SNF130471059 | FL | Primary |
| Skilled Nursing Facility | 314000000X |
Addresses
Primary practice location
750 Hayes Road
Lutz, FL 33549-6132
Mailing address
2123 Centre Pointe Blvd
Tallahassee, FL 32308-4930
Phone (850) 386-2831
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202816 | Medicaid | FL |
Other names 1
- Tampa Lakes Health and Rehabilitation Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170118001536 | FL | Part A Provider - Skilled Nursing Facility | 5698057115 | Practice locations: Lutz, FL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1730587254. Details of each certification follow.
Skilled nursing facility certification: CCN 106112
- Legal name
- LSV INVESTORS LLC
- Doing business as
- TAMPA LAKES HEALTH AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 10, 2017
- Last certification
- Jan 9, 2025
- Beds
- 179
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Summit Care
- Organization structure
- LLC
- Incorporated
- Nov 20, 2014 in FL
- Enrollment address
- 750 Hayes Rd
Lutz, FL 33549-6132 - Nursing home name
- TAMPA LAKES HEALTH AND REHABILITATION CENTER
- Affiliated entity
- SUMMIT CARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Tampa Lakes Health and Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Apr 10, 2017
- Medicare certification status
- Active
- Certified beds
- 179
- Chain
- Summit Care
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2124545 | Tampa Lakes Health and Rehabilitation Center | Certificate of waiver | Jan 18, 2027 |
National Provider Directory
National Provider DirectoryNetworks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Ownership & related parties
All disclosed owners & managing parties 25
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Indirect Ownership Interest | Aug 2, 2023 | 1.13% | |
| Tampa Lakes SNF Operations LLC | 5% Or Greater Direct Ownership Interest | Aug 4, 2023 | 45% |
| Tara Freibert | Operational/Managerial Control | Mar 2, 2020 | |
| Adp of the SNF | Mar 2, 2020 | ||
| John McManus | Corporate Director | Aug 4, 2023 | |
| Adp of the SNF | Aug 3, 2023 | ||
| Joseph Mitchell | 5% Or Greater Direct Ownership Interest | Nov 20, 2014 | 30.25% |
| Adp of the SNF | Aug 3, 2023 | ||
| Adp of the SNF | Mar 5, 2015 | ||
| Indirect Ownership Interest | Aug 2, 2023 | 1.13% | |
| Alan Davis | 5% Or Greater Direct Ownership Interest | Nov 20, 2014 | 24.75% |
| Corporate Director | Aug 4, 2023 | ||
| Adp of the SNF | Dec 21, 2025 | ||
| Adp of the SNF | Aug 4, 2023 | ||
| Adp of the SNF | Dec 21, 2025 | ||
| Indirect Ownership Interest | Aug 2, 2023 | 4.95% | |
| CH Summit Care Holdings LLC | 5% Or Greater Indirect Ownership Interest | Aug 2, 2023 | 20.25% |
| Adp of the SNF | Aug 4, 2023 | ||
| Adp of the SNF | Aug 4, 2023 | ||
| SK Summit Care II Holdings LLC | 5% Or Greater Indirect Ownership Interest | Aug 2, 2023 | 22.5% |
| Yisroel E Herzka | 5% Or Greater Indirect Ownership Interest | Aug 2, 2023 | 20.25% |
| Indirect Ownership Interest | Aug 2, 2023 | 1.13% | |
| Summit Care Management LLC | Operational/Managerial Control | Aug 4, 2023 | |
| Adp of the SNF | Dec 21, 2025 | ||
| Seam Ny 2020 Trust | 5% Or Greater Indirect Ownership Interest | Aug 4, 2023 | 21.39% |
| Nigel B Lewis | Adp of the SNF | Mar 9, 2026 | |
| Indirect Ownership Interest | Aug 2, 2023 | 1.13% | |
| Summit Care Group II Operations Holdings LLC | 5% Or Greater Indirect Ownership Interest | Aug 2, 2023 | 45% |
| Adp of the SNF | Aug 4, 2023 |
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.
-
dba The Springs at Boca Ciega Bay
- Skilled Nursing Facility
- South Pasadena, FL
- NPI 1194726638
CH Summit Care Holdings LLC, Seam Ny 2020 Trust, SK Summit Care II Holdings LLC, Summit Care Group II Operations Holdings LLC, Summit Care Management LLC
-
dba Madison Health and Rehabilitation Center
- Skilled Nursing Facility
- Madison, FL
- NPI 1801897541
CH Summit Care Holdings LLC, SK Summit Care II Holdings LLC, Summit Care Group II Operations Holdings LLC, Summit Care Management LLC
-
dba Seven Hills Health & Rehabilitation Center
- Skilled Nursing Facility
- Tallahassee, FL
- NPI 1245532464
Seam Ny 2020 Trust, Summit Care Management LLC
-
dba The Springs at Lake Pointe Woods
- Skilled Nursing Facility
- Sarasota, FL
- NPI 1770584211
CH Summit Care Holdings LLC, Seam Ny 2020 Trust, SK Summit Care II Holdings LLC, Summit Care Group II Operations Holdings LLC, Summit Care Management LLC
-
dba Valencia Hills Health & Rehabilitation Center
- Skilled Nursing Facility
- Lakeland, FL
- NPI 1720089394
CH Summit Care Holdings LLC, Seam Ny 2020 Trust, SK Summit Care II Holdings LLC, Summit Care Group II Operations Holdings LLC, Summit Care Management LLC
-
dba Scott Lake Health and Rehabilitation
- Skilled Nursing Facility
- Lakeland, FL
- NPI 1710490966
CH Summit Care Holdings LLC, Seam Ny 2020 Trust, SK Summit Care II Holdings LLC, Summit Care Group II Operations Holdings LLC, Summit Care Management LLC
-
- Skilled Nursing Facility
- North Miami, FL
- NPI 1760272389
Summit Care Management LLC
-
dba Surrey Place Conv Center of Bradenton
- Skilled Nursing Facility
- Bradenton, FL
- NPI 1518968288
CH Summit Care Holdings LLC, Seam Ny 2020 Trust, SK Summit Care II Holdings LLC, Summit Care Group II Operations Holdings LLC, Summit Care Management LLC
-
dba Diamond Ridge Health & Rehabilitation Center
- Skilled Nursing Facility
- Lecanto, FL
- NPI 1588665251
CH Summit Care Holdings LLC, Seam Ny 2020 Trust, SK Summit Care II Holdings LLC, Summit Care Group II Operations Holdings LLC, Summit Care Management LLC
-
dba RedBank Center for Rehabilitation and Healing
- Skilled Nursing Facility
- Red Bank, NJ
- NPI 1619652559
Seam Ny 2020 Trust
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": "1418688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1496880000000",
"number": "1730587254",
"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": "850-386-1552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 HAYES ROAD",
"city": "LUTZ",
"state": "FL",
"postal_code": "335496132",
"telephone_number": "850-386-2831",
"fax_number": "850-386-1552"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LSV INVESTORS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SUMMIT CARE II INC",
"enumeration_date": "2014-12-16",
"last_updated": "2017-06-08",
"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": "SNF130471059",
"primary": true
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202816",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Tampa Lakes Health and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2017; 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.