Lakeshore Manor, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12554 Issued in FL

Legal business name

LAKESHORE MANOR, LLC

Practice address

960 W Lakeshore Dr
Clermont, FL 34711-2932

Phone

(352) 989-5449

NPI assigned

Sep 29, 2014

Organization subpart

No

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

Authorized official

Name

Regina Manalili

Title

Administrator

Phone

(352) 989-5449

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John R Moy, DPM

  • Primary Podiatric Medicine Podiatrist
  • Orlando, FL
  • NPI 1649251786
  NPD (past)

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1750784229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 W LAKESHORE DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112932",
            "telephone_number": "352-989-5449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 W LAKESHORE DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112932",
            "telephone_number": "352-989-5449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE MANOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-29",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "MANALILI",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "352-989-5449"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana Linette Laino
• Lake America Family Physicians LLC
• Lake County Adult Activity Center Inc
• Lake Speech and Language Evaluation and Treatment Services, Inc.
• Monique Olina Lake-Appleton, FNP
• Negia Elisa Lalane del Castillo, MD
• Amy Lalanne
• Sandu Lama
• Heather Lamb, APRN
• Fardous Lammers-Hashem, MS. IMT

• Assisted Living Facility in Clermont, FL
• Providers in Clermont, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.