Harper Lake Operations, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HARPER LAKE OPERATIONS, LLC

Practice address

213 NW Gleason Dr
Lake City, FL 32055-5846

Phone

(386) 344-6985

NPI assigned

Oct 4, 2019

Organization subpart

No

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

Authorized official

Name

Micah Linton

Title

Owner

Phone

(904) 240-1388

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Canopy at Harper Lake Doing business as

Locations

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573171200000",
    "number": "1902447527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 RIVERSIDE AVE STE 450",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 NW GLEASON DR",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320555846",
            "telephone_number": "386-344-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARPER LAKE OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-11-08",
        "status": "A",
        "authorized_official_last_name": "LINTON",
        "authorized_official_first_name": "MICAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-240-1388"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104221800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Canopy at Harper Lake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Harbor Therapy Services, LLC
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• Domonique L Hardman, PTA
• Cathy Harmon, DNP, FNP-BC, CWCN
• Harper Emergency Physicians LLC
• Aaronia Harps
• Amanda Lynne Harrell, PTA
• Tammy Harris
• Bobby E Harrison, MD
• Kevin Blair Harrison, D.C.

• Assisted Living Facility in Lake City, FL
• Providers in Lake City, 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 Nov 8, 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.