Lady Lake Specialty Care Center
LBN: Lady Lake Nh, Llc
Lady Lake Specialty Care Center is an health care organization with primary practice located at 630 Griffin Ave , Lady Lake FL 32159-8101. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Parenteral & Enteral Nutrition. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
Lady Lake Nh, Llc can be contacted via phone (352) 750-6619, or through Scheiner, Moshe via phone (813) 557-6200.
Contact Information
Primary practice address
630 Griffin Ave
Lady Lake FL 32159-8101
Phone: (352) 750-6619
Fax: (352) 750-0373
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | SNF130470994 | Florida |
| Suppliers / Parenteral & Enteral Nutrition | 332BP3500X |
Profile Details
| NPI number | 1326043050 |
|---|---|
| LBN Legal business name | Lady Lake Nh, Llc |
| DBA Doing business as | Lady Lake Specialty Care Center |
| Authorized official | Scheiner, Moshe |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 17th, 2005 |
| Last updated | Jun 27th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326043050 | NPPES |
| Florida | MEDICAID | 0227561-00 |
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