Lakeside Manor Llc

LBN: Lakeside Manor Llc
Lakeside Manor Llc is an health care organization with primary practice located at 676 Union St , Dunedin FL 34698-8424. 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. Lakeside Manor Llc can be contacted via phone (727) 798-2497, or through Granados, Robin K via phone (727) 798-2497.

Contact Information

Primary practice address
676 Union St Dunedin FL 34698-8424
Phone: (727) 798-2497
Fax: (727) 736-8642
Website:
Map and Directions
Authorized official contact:
Name: Granados, Robin K
Phone: (727) 798-2497

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL8358 Florida

Profile Details

NPI number 1548684939
LBN Legal business name Lakeside Manor Llc
DBA Doing business as
Authorized official Granados, Robin K
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2014
Last updated Feb 6th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548684939 NPPES
Florida MEDICAID 690391600

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