Lake Harris Health Systems LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LAKE HARRIS HEALTH SYSTEMS LLC

Doing business as

Lake Harris Health Center

Practice address

701 Lake Port Blvd
Leesburg, FL 34748-7674

Phone

(352) 728-3366

Fax

(352) 728-6158

NPI assigned

Jul 30, 2006

Last updated

Dec 23, 2008By 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

Ms. Patrice Evans

Title

Administrator

Phone

(352) 728-3366

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lake Harris Health Center Doing business as

Tax ID family

CCRC - Lake Port Square LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• CCRC - Lake Port Square, LLC

  dba Lake Port Square Health Center

  • Skilled Nursing Facility
  • Leesburg, FL
  • NPI 1073927331
  NPD tax ID

Locations

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229990400000",
    "number": "1740295476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 LAKE PORT BLVD",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347487674",
            "telephone_number": "352-728-3366",
            "fax_number": "352-728-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 LAKE PORT BLVD",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347487674",
            "telephone_number": "352-728-3366",
            "fax_number": "352-728-6158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE HARRIS HEALTH SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2008-12-23",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "352-728-3366",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022896600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Harris Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lake County Neurology, PA
• Lake County Neurosurgicaland Spinal Institute (Michael G Hill MD PA)
• Lake ENT & FPS, PA (Lake Ear, Nose Throat and Facial Plastic Surgery Associates)
• Lake Foot and Ankle PA (Lakeside Foot and Ankle Center)
• Lake Harris Health Systems LLC (Lake Harris Home Care Services)
• Lake Hospitalist Inc
• Lake Internal Medicine PA
• Lake Medical Billing Services Inc (Leesburg Pulmonary Diagnostics)
• Lake Medical Imaging and Breast Center at the Villages LLC
• Lake Neurodiversity, LLC

• Skilled Nursing Facility in Leesburg, FL
• Providers in Leesburg, 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 Dec 23, 2008; 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.