Lake Port Square Health Center

LBN: Ccrc - Lake Port Square, Llc
Lake Port Square Health Center is an health care organization with primary practice located at 701 Lake Port Blvd , Leesburg FL 34748-7674. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Ccrc - Lake Port Square, Llc can be contacted via phone (352) 728-3366, or through Miller, Jeffrey via phone (949) 407-0700.

Contact Information

Primary practice address
701 Lake Port Blvd Leesburg FL 34748-7674
Phone: (352) 728-3366
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Miller, Jeffrey
Phone: (949) 407-0700

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1073927331
LBN Legal business name Ccrc - Lake Port Square, Llc
DBA Doing business as Lake Port Square Health Center
Authorized official Miller, Jeffrey
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2014
Last updated Feb 10th, 2021 - about 4 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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