Lake Bennet Health and Rehabilitation Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LAKE BENNET HEALTH AND REHABILITATION CENTER, INC.

Practice address

1091 Kelton Ave
Ocoee, FL 34761-3162

Phone

(407) 523-0300

NPI assigned

May 9, 2006

Organization subpart

No

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

Authorized official

Name

Jay Bloomer

Title

Administrator

Phone

(407) 523-0300

Specialties & licenses 1

Addresses

Networks

• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821047788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1091 KELTON AVE",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613162",
            "telephone_number": "407-523-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1091 KELTON AVE",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613162",
            "telephone_number": "407-523-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE BENNET HEALTH AND REHABILITATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLOOMER",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-523-0300"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karin Ingrid Kurowski, MD
• John Lafferty, MD
• Meredith Lafontaine, PA
• Lucyna Lagod, MD
• Catherine Lai-Hsu, PA-C
• Lake Bennet SNF Operations LLC
• Lake Bennett Inc
• Laken Pharmacy LLC
• Lakeside Occupational Medical Centers, Inc.
• Lakota Wellness, LLC

• Skilled Nursing Facility in Ocoee, FL
• Providers in Ocoee, 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 22, 2020; 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.