Lake House Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12827 Issued in FL

Legal business name

LAKE HOUSE ASSISTED LIVING LLC

Doing business as

Lake House Assisted Living

Practice address

1071 Lake Ave NE
Largo, FL 33771-1669

Phone

(727) 581-9111

Fax

(727) 781-9222

NPI assigned

May 10, 2016

Organization subpart

Yes

Parent organization

ROSEWOOD HOUSE II INC.As reported in NPPES

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

Authorized official

Name

Eric Moore

Title

VP Operations

Phone

(727) 581-9111

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lake House Assisted Living Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Rosewood House II

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.

• Rosewood House II

  • Assisted Living Facility
  • Dunedin, FL
  • NPI 1417371121
  NPPES parent name

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462838400000",
    "number": "1831545789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 LAKE AVE NE",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337711669",
            "telephone_number": "727-581-9111",
            "fax_number": "727-781-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 LAKE AVE NE",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337711669",
            "telephone_number": "727-581-9111",
            "fax_number": "727-781-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE HOUSE ASSISTED LIVING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROSEWOOD HOUSE II INC.",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-05-10",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "727-581-9111"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA AGENCY OF HEALTHCARE ADMINISTRATION",
            "identifier": "AL12827",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake House Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Doris Maricel Carandang Lagat, APRN
• Kendra Pritchard Lagrande, P.T.
• Melissa Leeann Lahmeyer, AP
• Tiffany Laitano, MD
• Lake Endocrinology and Diabetes, PLLC
• Brian Matthew Lake, D.O.
• Lakeside Occuapatinal Medical Centers Inc
• Lakeside Occupational Medical Centers, Inc.
• Lakeside of Lakeland Inc
• Alex Nghia Lam

• Assisted Living Facility in Largo, FL
• Providers in Largo, 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 May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.