Deland Blue Lake Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

DELAND BLUE LAKE OPCO LLC

Doing business as

Deland Blue Lake Post Acute

Practice address

991 E New York Ave
Deland, FL 32724-5664

Phone

(386) 734-9083

NPI assigned

Aug 11, 2026

Last updated

Aug 11, 2026By 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

Sarah Becher

Title

Member

Phone

(000) 000-0000

Specialties & licenses 1

Addresses

Other names 1

• DELAND BLUE LAKE POST ACUTE Doing business as

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

{
    "created_epoch": "1786406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1780509695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 BROOKFALL RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 E NEW YORK AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327245664",
            "telephone_number": "386-734-9083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAND BLUE LAKE OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-11",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "BECHER",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "000-000-0000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DELAND BLUE LAKE POST ACUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adam Joseph Deimling, MED, ATC, LAT
• Pamela L Deimund, LMT
• Kimberlee C Del Campo
• Deland Anesthesiology Group Inc
• Deland Athens Opco LLC (Deland Athens Post Acute)
• Deland Central Physicians Assoc (Medical Treatment Center)
• Deland Dental
• Deland Family Medicine PA (DeLand Family Medicine)
• Deland FL Alf Opco LLC (Blue Palms Senior Living of Deland)
• Deland FL Opco, LLC

• Skilled Nursing Facility in Deland, FL
• Providers in Deland, 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 Aug 11, 2026; 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.