Brookdale Lake Tavares

LBN: Blc Tavares-Gc,Llc
Brookdale Lake Tavares is an health care organization with primary practice located at 1211 E Caroline St , Tavares FL 32778-3460. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Blc Tavares-Gc,Llc can be contacted via phone (353) 343-6464, or through Ohlendorf, Mark via phone (414) 918-5000.

Contact Information

Primary practice address
1211 E Caroline St Tavares FL 32778-3460
Phone: (353) 343-6464
Fax: (352) 343-2909
Website:
Map and Directions
Authorized official contact:
Name: Ohlendorf, Mark
Phone: (414) 918-5000

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1568764991
LBN Legal business name Blc Tavares-Gc,Llc
DBA Doing business as Brookdale Lake Tavares
Authorized official Ohlendorf, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2010
Last updated Oct 19th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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