WG Heritage LF, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10233 Issued in FL

Legal business name

WG HERITAGE LF, LLC

Doing business as

Atria at Lake Forest

Practice address

5433 W State Road 46
Sanford, FL 32771-9236

Phone

(407) 322-2207

Fax

(407) 302-3411

NPI assigned

Jul 17, 2013

Last updated

Oct 15, 2019By 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

W. Bryan Hudson

Title

Evp, General Counsel and Secretary

Phone

(502) 779-4700

Specialties & licenses 1

Addresses

Other names 1

• Atria at Lake Forest Doing business as

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571097600000",
    "number": "1811338932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E. MARKET STREET",
            "address_2": "SUITE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021196",
            "telephone_number": "502-779-4700",
            "fax_number": "502-779-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5433 W STATE ROAD 46",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327719236",
            "telephone_number": "407-322-2207",
            "fax_number": "407-302-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WG HERITAGE LF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2019-10-15",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "W.",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "EVP, GENERAL COUNSEL AND SECRETARY",
        "authorized_official_telephone_number": "502-779-4700"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atria at Lake Forest",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Atria at Lake Forest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Sanford, FL
• Providers in Sanford, 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 Oct 15, 2019; 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.