NPIMap

Organization Active NPI

Lehigh Acres BG Opco LLC

Doing business as Lehigh Acres Place

  • Assisted Living Facility
  • Lehigh Acres, FL
National Provider Identifier
1760939813
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
LEHIGH ACRES BG OPCO LLC
Doing business as
Lehigh Acres Place
Practice address
1251 Business Way
Lehigh Acres, FL 33936-6046
Phone
(239) 368-2500
NPI assigned
Sep 7, 2016
Last updated
Sep 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Authorized official

Name
Peter Tarsney
Title
Authorized Signatory
Phone
(312) 725-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

1251 Business Way
Lehigh Acres, FL 33936-6046

Mailing address

330 N Wabash Ave
Suite 3700
Chicago, IL 60611-3586
Phone (312) 725-7000

Other names 1

  • Lehigh Acres Place Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140819001276 FL Part B Supplier - Clinic/Group Practice 2860619632 Receives reassigned benefits from 588 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2600 S Florida Ave
Lakeland, FL 33803
Phone (863) 732-7200

1111 SE Federal Hwy
Ste 334
Stuart, FL 34994
Phone 2396906906 ext. 21659

5825 Argerian Dr
Ste 101
Wesley Chapel, FL 33545
Phone (813) 687-4870

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1760939813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N WABASH AVE",
            "address_2": "SUITE 3700",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113586",
            "telephone_number": "312-725-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 BUSINESS WAY",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339366046",
            "telephone_number": "239-368-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEHIGH ACRES BG OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "TARSNEY",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "AUTHORIZED SIGNATORY",
        "authorized_official_telephone_number": "312-725-7000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lehigh Acres Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.