NPIMap

Organization Active NPI

Florida PH-I, LLC

  • Skilled Nursing Facility
  • Lakeland, FL
National Provider Identifier
1831433531
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF130470964 Issued in FL
Legal business name
FLORIDA PH-I, LLC
Practice address
16 Lake Hunter Dr
Lakeland, FL 33803-1297
Phone
(863) 577-6040
NPI assigned
Nov 19, 2012
Organization subpart
Yes
Parent organization
FLORIDA PRESBYTERIAN HOMES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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

Authorized official

Name
Patty Fekete
Title
Asst Treasurer/Director of Finance
Phone
(863) 577-6040

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL4790 FL
Skilled Nursing Facility 314000000X SNF130470964 FL Primary

Addresses

Primary practice location

16 Lake Hunter Dr
Lakeland, FL 33803-1297

Mailing address

16 Lake Hunter Dr
Lakeland, FL 33803-1297

National Provider Directory

National Provider Directory
Part of
Florida Presbyterian Homes Inc

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1831433531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 LAKE HUNTER DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338031297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 LAKE HUNTER DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338031297",
            "telephone_number": "863-577-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA PH-I, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA PRESBYTERIAN HOMES, INC.",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "FEKETE",
        "authorized_official_first_name": "PATTY",
        "authorized_official_title_or_position": "ASST TREASURER/DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "863-577-6040"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL4790",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF130470964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.