Organization Active NPI

LSV Investors LLC

Doing business as Tampa Lakes Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Lutz, FL
National Provider Identifier
1730587254
Registry record updated Jun 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF130471059 Issued in FL
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, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
SUMMIT CARE II INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 8, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
202816MedicaidFL

Other names 1

  • Tampa Lakes Health and 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
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
LLCProprietary
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 CenterCCN 106112 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 10, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
179169.5 residents per day on average
Chain
Summit Care22 facilities in the chain

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
10D2124545Tampa Lakes Health and Rehabilitation Center750 Hayes Road, Lutz, FL 33549Certificate of waiverJan 18, 2027

National Provider Directory

National Provider Directory

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 Máximo (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 25

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

NameRoleSinceShare
Organization, Lakewood, NJ LLC, Owned by another organization or individual Indirect Ownership Interest Aug 2, 2023 1.13%
Tampa Lakes SNF Operations LLC Organization, Lakewood, NJ LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 4, 2023 45%
Tara Freibert Individual Operational/Managerial Control Mar 2, 2020
Adp of the SNF Mar 2, 2020
John McManus Individual Corporate DirectorVP of Finance Aug 4, 2023
Adp of the SNF Aug 3, 2023
Joseph Mitchell Individual 5% Or Greater Direct Ownership Interest Nov 20, 2014 30.25%
Individual Adp of the SNF Aug 3, 2023
Organization, Hunt Valley, MD LLC Adp of the SNF Mar 5, 2015
Individual Indirect Ownership Interest Aug 2, 2023 1.13%
Alan Davis Individual 5% Or Greater Direct Ownership Interest Nov 20, 2014 24.75%
Corporate DirectorPresident Aug 4, 2023
Organization, Baltimore, MD Financial institution Adp of the SNF Dec 21, 2025
Individual Adp of the SNF Aug 4, 2023
Organization, Tallahassee, FL Adp of the SNF Dec 21, 2025
Individual Indirect Ownership Interest Aug 2, 2023 4.95%
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 4, 2023
Individual Adp of the SNF Aug 4, 2023
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%
Yisroel E Herzka Individual 5% Or Greater Indirect Ownership Interest Aug 2, 2023 20.25%
Organization, Lakewood, NJ LLC, Owned by another organization or individual Indirect Ownership Interest Aug 2, 2023 1.13%
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%
Nigel B Lewis Individual Adp of the SNF Mar 9, 2026
Individual Indirect Ownership Interest Aug 2, 2023 1.13%
Summit Care Group II Operations Holdings LLC Organization, Tallahassee, FL LLC 5% Or Greater Indirect Ownership Interest Aug 2, 2023 45%
Individual 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.

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

Verify at the official NPI Registry.