Organization Active NPI

Lifecare of Lakeland, LLC

  • Community/Behavioral Health Agency
  • Lakeland, FL
National Provider Identifier
1972945087
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIFECARE OF LAKELAND, LLC
Practice address
625 Schoolhouse Rd
Suite 2
Lakeland, FL 33813-2615
Phone
(863) 937-9659
Fax
(863) 937-9662
NPI assigned
Jul 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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

Authorized official

Name
Ms. Donna Marie St Rock, MA
Title
Owner/Therapist
Phone
(863) 937-9659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

625 Schoolhouse Rd
Suite 2
Lakeland, FL 33813-2615

Mailing address

625 Schoolhouse Rd
Suite 2
Lakeland, FL 33813-2615
Phone (863) 937-9659

National Provider Directory

National Provider Directory

Locations

625 Schoolhouse Rd
Ste 2
Lakeland, FL 33813
Phone (863) 937-9659

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456790400000",
    "number": "1972945087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 SCHOOLHOUSE RD",
            "address_2": "SUITE 2",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132615",
            "telephone_number": "863-937-9659",
            "fax_number": "863-937-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 SCHOOLHOUSE RD",
            "address_2": "SUITE 2",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132615",
            "telephone_number": "863-937-9659",
            "fax_number": "863-937-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE OF LAKELAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-18",
        "last_updated": "2016-03-01",
        "status": "A",
        "authorized_official_last_name": "ST ROCK",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "863-937-9659",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "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 1, 2016; 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.