Organization Active NPI

Lake View House LLC

  • Assisted Living Facility
  • St Petersburg, FL
National Provider Identifier
1780072785
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL7771 Issued in FL
Legal business name
LAKE VIEW HOUSE LLC
Practice address
465 7TH Ave N
St Petersburg, FL 33701-2354
Phone
(727) 898-3948
NPI assigned
Dec 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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

Authorized official

Name
Ms. Barbara Mehos, RN
Title
Owner
Phone
(727) 898-3948

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL7771 FL Primary

Addresses

Primary practice location

465 7TH Ave N
St Petersburg, FL 33701-2354

Mailing address

465 7TH Ave N
St Petersburg, FL 33701-2354
Phone (727) 898-3948

Other identifiers 1

IdentifierTypeStateIssuer
141323600MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1780072785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 7TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337012354",
            "telephone_number": "727-898-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 7TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337012354",
            "telephone_number": "727-898-3948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE VIEW HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-30",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "MEHOS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-898-3948",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL7771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141323600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.