Highlands Lake Center

LBN: Highlands Lake Center, Llc
Highlands Lake Center is an health care organization with primary practice located at 4240 Lakeland Highlands Rd , Lakeland FL 33813-3113. 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. Highlands Lake Center, Llc can be contacted via phone (863) 646-8699, or through Ziolkowski, Jennifer Alise via phone (813) 558-6629.

Contact Information

Primary practice address
4240 Lakeland Highlands Rd Lakeland FL 33813-3113
Phone: (863) 646-8699
Fax: (863) 644-3475
Website:
Map and Directions
Authorized official contact:
Name: Ziolkowski, Jennifer Alise MBA
Phone: (813) 558-6629

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF1345096 Florida

Profile Details

NPI number 1366430399
LBN Legal business name Highlands Lake Center, Llc
DBA Doing business as Highlands Lake Center
Authorized official Ziolkowski, Jennifer Alise MBA
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2005
Last updated Jun 12th, 2024 - about 5 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1366430399 NPPES
Florida Other C105620 UNITED AMERICAN
Florida Other 0004438182 UNITED AMERICAN
Florida MEDICAID 026057600 UNITED AMERICAN
Florida Other 71-05624 UNITED AMERICAN
Florida Other K3E UNITED AMERICAN

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