Still Waters Of Lake City, Inc.

LBN: Still Waters Of Lake City, Inc.
Still Waters Of Lake City, Inc. is an health care organization with primary practice located at 507 Nw Hall Of Fame Dr , Lake City FL 32055-4835. The organization recently has 4 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center), Nursing & Custodial Care Facilities / Adult Care Home, Respite Care Facility / Respite Care. Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty. Still Waters Of Lake City, Inc. can be contacted via phone (386) 755-6560, or through Hysell, Threasa via phone (386) 755-6560.

Contact Information

Primary practice address
507 Nw Hall Of Fame Dr Lake City FL 32055-4835
Phone: (386) 755-6560
Fax: (386) 628-5018
Website:
Map and Directions
Authorized official contact:
Name: Hysell, Threasa Registered Nurse (RN)
Phone: (386) 755-6560

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL9472 Florida
Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) 311500000X AL9472 Florida
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X AL9472 Florida
Respite Care Facility / Respite Care 385H00000X AL9472 Florida

Profile Details

NPI number 1104160027
LBN Legal business name Still Waters Of Lake City, Inc.
DBA Doing business as
Authorized official Hysell, Threasa Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2012
Last updated Nov 15th, 2012 - about 12 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 1104160027 NPPES
Florida Other 682130800 MEDICAID WAIVER

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