LAKE CITY NURSING AND REHABILITATION CENTER, LLC (NPI# 1053420729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053420729 |
Entity Type | Organization |
Organization Name | LAKE CITY NURSING AND REHABILITATION CENTER, LLC |
Practice Address |
2055 Rex Rd Lake City GA 30260-3944 |
Mailing Address |
Po Box 428 Orchard Park NY 14127-0428 |
Practice Telephone | 4043615114 |
Practice Fax Number | 4043636366 |
Mailing Telephone | 7166624955 |
Mailing Fax Number | 7166679230 |
Enumeration Date | 2006-08-29 |
Last Update Date | 2011-11-03 |
Authorized Official Name | MR. NORBERT A BENNETT (CO-CEO) |
Authorized Official Telephone | 7166624955 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 10311849 | GA | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 00141699A | 05 |
Street Address |
2055 REX RD |
City | LAKE CITY |
State | GA |
Zip Code | 30260-3944 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023550696 | Antranika D. Ross | Nurse Practitioner | 2055 Rex Rd, Lake City, GA 30260-3944 | 2016-11-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538766605 | C. Alexander Pediatrics LLC | Emergency Medicine | 2180 Rex Road, Morrow, GA 30260 | 2020-10-02 |
1578127627 | Osara Dhevmi Malalasekara | Student in an Organized Health Care Education/Training Program | Amc Family Medicine Residency Program, 1000 Corporate Center Dr Suite 200, Morrow, GA 30260 | 2019-04-24 |
1902360860 | Katrina Samuels | Technician | 5771 Trammell Rd. Morrow Ga, Morrow, GA 30260 | 2019-01-24 |
1679067870 | Atl Sport | Community/Behavioral Health | 5376 Jonesboro Rd, Lake City, GA 30260 | 2018-06-20 |
1487184099 | Mamie Rochell Jinks | Driver | 1541 Lakeland Cir, Lake City, GA 30260 | 2017-06-15 |
1598202079 | Grace Misi Nteff | Nurse Practitioner | 1000 Clayton Village, Clayton State University, School of Nursing Community, Morrow, GA 30260 | 2017-01-23 |
1902357908 | Morrow Family Dentistry, P.C. | Clinic/Center | 6319a Jonesboro Road, Morrow, GA 30260 | 2016-10-14 |
1043679418 | Elite Rehab and Weightloss | Chiropractor | 1568 Southlake Pkwy Ste C, Morrow, GA 30260 | 2016-02-15 |
1659758985 | Clayton State University | Nurse Practitioner | 5809 Northlake Drive, Bldg 1000, Morrow, GA 30260 | 2015-05-06 |
1255731519 | Care First Private Home Care | In Home Supportive Care | 2380 Fairfield Court, Morrow, GA 30260 | 2014-08-23 |
Find all providers in zip 30260 |
Taxonomy Code | 314000000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Skilled Nursing Facility |
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083170534 | Sf Brevard, LLC | Skilled Nursing Facility | 298 Sw Prosperity Place, Lake City, FL 32024 | 2019-02-20 |
1447733480 | Chc Lakeside Nursing Center, LLC | Skilled Nursing Facility | 1207 Willow Run St, Lake City, AR 72437-9520 | 2018-09-14 |
1871611889 | Lake City Adult Day Care, Inc. | Skilled Nursing Facility | 122 S Acline St, Lake City, SC 29560-2633 | 2007-03-27 |
1134278203 | Osprey of North Florida, Inc. | Skilled Nursing Facility | 587 Se Ermine Ave, Lake City, FL 32025-6126 | 2007-01-09 |
1962510859 | Manor of Lake City, Inc | Skilled Nursing Facility | 1409 W Main St, Lake City, IA 51449-1578 | 2006-08-29 |
1487663258 | The Health Center of Lake City, Inc. | Skilled Nursing Facility | 560 Sw Mcfarlane Ave, Lake City, FL 32025-5614 | 2006-08-07 |
1164431003 | Summit View of Lake City, LLC | Skilled Nursing Facility | 204 Industrial Park Ln, Lake City, TN 37769-2301 | 2006-08-07 |
1598733487 | Rural Business, Inc | Skilled Nursing Facility | 56 Genesis Dr, Lake City, SC 29560-5531 | 2006-03-08 |
1750365706 | Lake City Mgt LLC | Skilled Nursing Facility | 1270 Sw Main Blvd, Lake City, FL 32025-6684 | 2005-12-02 |
1518953892 | Lakeside Nursing and Rehabilitation Center, Inc. | Skilled Nursing Facility | 1207 Willow Run Road, Lake City, AR 72437-0578 | 2005-09-22 |
Find all providers in LAKE CITY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.