OP LAKE PARKER, INC. (NPI# 1366483133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366483133 |
| Entity Type | Organization |
| Organization Name | OP LAKE PARKER, INC. |
| Other Organization Name | TANDEM HEALTH CARE OF LAKE PARKER |
| Practice Address |
2020 W Lake Parker Dr Lakeland FL 33805-5005 |
| Mailing Address |
800 Concourse Pkwy S Suite 200 Maitland FL 32751-6148 |
| Practice Telephone | 8636827580 |
| Practice Fax Number | 8636839564 |
| Mailing Telephone | 4075711550 |
| Mailing Fax Number | 4075711599 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOSEPH CONTE (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 4075711550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | SNF10150962 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 265691 | 05 |
| Other Name | Type Code |
|---|---|
| Tandem Health Care of Lake Parker | Doing Business As Name - Organization |
| Street Address |
2020 W LAKE PARKER DR |
| City | LAKELAND |
| State | FL |
| Zip Code | 33805-5005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748930 | Lauren Fox | Occupational Therapist | 2020 W Lake Parker Dr, Lakeland, FL 33805-5005 | 2020-07-28 |
| 1407401540 | Julia Brooke Attaway | Speech-Language Pathologist | 2020 W Lake Parker Dr, Lakeland, FL 33805-5005 | 2019-08-06 |
| 1831640622 | Manolitha Joseph | Occupational Therapy Assistant | 2020 W Lake Parker Dr, Lakeland, FL 33805-5005 | 2016-10-18 |
| 1801253422 | Alejandra Padron Morales | Occupational Therapy Assistant | 2020 W Lake Parker Dr, Lakeland, FL 33805-5005 | 2016-01-27 |
| 1356733570 | Erica Nicole Wadford | Physical Therapy Assistant | 2020 W Lake Parker Dr, Lakeland, FL 33805-5005 | 2015-02-25 |
| 1700208022 | Bethany Kaseman | Occupational Therapist | 2020 W Lake Parker Dr, Lakeland, FL 33805-5005 | 2014-01-07 |
| 1801135710 | Barbara L Main | Occupational Therapy Assistant | 2020 W Lake Parker Dr, Lakeland, FL 33805-5005 | 2013-02-12 |
| 1912246430 | Soeurette Georges | Physical Therapy Assistant | 2020 W Lake Parker Dr, Lakeland, FL 33805-5005 | 2013-02-04 |
| 1619216298 | Magdalena Iwanek | Physical Therapist | 2020 W Lake Parker Dr, Lakeland, FL 33805-5005 | 2013-02-02 |
| 1609931955 | Joel B Freid Phd Pa | Psychologist | 2020 W Lake Parker Dr, Lakeland, FL 33805-5005 | 2006-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477188704 | Ernie Tairon Lugo | Nursing Home Administrator | 5210 State Road N 33, Lot 8, Lakeland, FL 33805 | 2020-03-06 |
| 1912546631 | Francis Esperanzate | Physical Therapist | 5070 Menlo Parke Way, Lakeland, FL 33805 | 2019-12-27 |
| 1689232514 | Anointed Touch | Home Health | 617 S Robson Street, Lakeland, FL 33805 | 2019-06-05 |
| 1083160642 | Cherlande Pierre | Chiropractor | 1507 Lakeland Hills Blvd Ste 109, Lakeland, FL 33805 | 2016-09-01 |
| 1992251706 | Damaris Salmeron | Physical Therapy Assistant | 3127 Us Hwy 98 N, Lakeland, FL 33805 | 2016-08-31 |
| 1831589076 | Sarah Mcneill | Pharmacist | 3124 Lakeland Hills Blvd, Lakeland, FL 33805 | 2015-01-26 |
| 1750706479 | Alison M Busby | Counselor | Achievement Academy Inc, 716 E. Bella Vista St, Lakeland, FL 33805 | 2014-03-04 |
| 1174872907 | William Vargas, M.d. P. A. | Anesthesiology | 202 Parkview Place, Lakeland, FL 33805 | 2012-09-07 |
| 1184998056 | Eduardo Francisco Lopez Garcia | Internal Medicine | 135 E First Street, Lakeland, FL 33805 | 2012-02-24 |
| 1255625513 | Navdeep Singh Jassal | Physical Medicine & Rehabilitation | 1417 Lakeland Hills Blvd Ste 201, Lakeland, FL 33805 | 2011-06-04 |
| Find all providers in zip 33805 | ||||
| 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 |
|---|---|---|---|---|
| 1912465923 | Lakeland Oaks Nh LLC | Skilled Nursing Facility | 855 Carpenters Way, Lakeland, FL 33809 | 2019-03-08 |
| 1710490966 | Lakeland Snf Investors LLC | Skilled Nursing Facility | 800 E County Road 540a, Lakeland, FL 33813-4650 | 2017-11-09 |
| 1396147237 | Lamisha Williams | Skilled Nursing Facility | 744 Park Hill Ave, Lakeland, FL 33801-5533 | 2014-09-23 |
| 1043619471 | Lorraine Stocki | Skilled Nursing Facility | 1350 Sleepy Hill Rd Fl 33810, Lakeland, FL 33810-3800 | 2014-08-21 |
| 1508105958 | Stella Goff | Skilled Nursing Facility | 4435 Galloway Ln, Lakeland, FL 33810-6705 | 2013-02-05 |
| 1770689887 | Carpenters Home Estates Inc | Skilled Nursing Facility | 1001 Carpenters Way, Lakeland, FL 33809-3956 | 2006-09-15 |
| 1518907039 | Tandem Health Care of Lakeland, Inc. | Skilled Nursing Facility | 5245 N Socrum Loop Rd, Lakeland, FL 33809-4253 | 2006-06-07 |
| 1083660427 | Lakeland Health Care Associates LLC | Skilled Nursing Facility | 1010 Carpenters Way, Lakeland, FL 33809-3926 | 2006-05-26 |
| 1841246329 | Oakbridge Health Care Associates LLC | Skilled Nursing Facility | 3110 Oakbridge Blvd E, Lakeland, FL 33803-5987 | 2006-05-26 |
| 1366430399 | Highlands Lake Center, LLC | Skilled Nursing Facility | 4240 Lakeland Highlands Rd, Lakeland, FL 33813-3113 | 2005-10-13 |
| Find all providers in LAKELAND | ||||
Please comment or provide details below to improve the information on OP LAKE PARKER, INC..
| 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.