Lake Worth SNF LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LAKE WORTH SNF LLC

Doing business as

Terraces of Lake Worth Rehabilitation and Health Center

Practice address

1711 6TH Ave S
Lake Worth, FL 33460-4333

Phone

(561) 586-0808

Fax

(561) 585-8757

NPI assigned

Jul 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Tzvi Bogomilsky

Title

Authorized Official

Phone

(305) 401-7901

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Terraces of Lake Worth Rehabilitation and Health Center Doing business as

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1861691693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 NE MIAMI GARDENS DR",
            "address_2": "#368",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331795035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 6TH AVE S",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334604333",
            "telephone_number": "561-586-0808",
            "fax_number": "561-585-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE WORTH SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "BOGOMILSKY",
        "authorized_official_first_name": "TZVI",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "305-401-7901",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032503100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Terraces of Lake Worth Rehabilitation and Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lake Worth Enterprise LLC
• Lake Worth Fire Department
• Lake Worth Opco LLC
• Lake Worth Orthodontics
• Lake Worth Rehabilitation Center LLC (Lake Worth Rehabilitation Center)
• Lake Worth SNF LLC
• Lake Worth Therapy Center
• Colleen Lam, D.M.D.
• Rolando Martin Lam
• Brian Bernard Lambert, PA C

• Skilled Nursing Facility in Lake Worth, FL
• Providers in Lake Worth, 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 Jul 10, 2013; 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.