Organization Active NPI

Lakeland Oaks NH LLC

  • Skilled Nursing Facility
  • Lakeland, FL
National Provider Identifier
1912465923
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LAKELAND OAKS NH LLC
Practice address
855 Carpenters Way
Lakeland, FL 33809
Phone
(813) 635-9500
NPI assigned
Mar 8, 2019
Last updated
Mar 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Authorized official

Name
Ashley Ann Peters
Title
Vice President
Phone
(813) 415-7589

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

855 Carpenters Way
Lakeland, FL 33809

Mailing address

4042 Park Oaks Blvd Ste 300
Tampa, FL 33610-9539
Phone (813) 635-9500

National Provider Directory

National Provider Directory

Member of 1

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

Locations

855 Carpenters Way
Lakeland, FL 33809
Phone (863) 213-3335

NPI Registry JSON

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1912465923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4042 PARK OAKS BLVD STE 300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336109539",
            "telephone_number": "813-635-9500",
            "fax_number": "813-635-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 CARPENTERS WAY",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33809",
            "telephone_number": "813-635-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND OAKS NH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-08",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "813-415-7589"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "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 Mar 11, 2024; 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.