Lake Bennett Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LAKE BENNETT INC

Doing business as

Lake Bennett Health & Rehabilitation Center

Practice address

1091 Kelton Ave
Ocoee, FL 34761-3162

Phone

(850) 258-0316

Fax

(850) 392-0000

NPI assigned

Sep 29, 2009

Last updated

Sep 29, 2009By 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

Mr. John Earl Warren

Title

President

Phone

(850) 258-0316

Specialties & licenses 1

Addresses

Other names 1

• Lake Bennett Health & Rehabilitation Center Doing business as

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1740514496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1091 KELTON AVE",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613162",
            "telephone_number": "850-258-0316",
            "fax_number": "850-392-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1091 KELTON AVE",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613162",
            "telephone_number": "850-258-0316",
            "fax_number": "850-392-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE BENNETT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-258-0316",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Bennett Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meredith Lafontaine, PA
• Lucyna Lagod, MD
• Catherine Lai-Hsu, PA-C
• Lake Bennet Health and Rehabilitation Center, Inc.
• Lake Bennet SNF Operations LLC (Lake Bennet Center for Rehabilitation and Healing)
• Laken Pharmacy LLC (America's Pharmacy V)
• Lakeside Occupational Medical Centers, Inc.
• Lakota Wellness, LLC
• Anil Kumar Lakshman, MD
• Michael Laliberte, DPM

• Skilled Nursing Facility in Ocoee, FL
• Providers in Ocoee, 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 Sep 29, 2009; 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.