MERIDIAN PARK VILLAGE LIMITED PARTNERSHIP (NPI# 1568423234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568423234 |
| Entity Type | Organization |
| Organization Name | MERIDIAN PARK VILLAGE LIMITED PARTNERSHIP |
| Other Organization Name | VI AT LAKESIDE VILLAGE |
| Practice Address |
2792 Donnelly Dr Lantana FL 33462-6431 |
| Practice Telephone | 5619664600 |
| Practice Fax Number | 5614345344 |
| Mailing Telephone | 5619664600 |
| Mailing Fax Number | 5614345344 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2019-03-19 |
| Authorized Official Name | TARA COPE (SVP & GENERAL COUNSEL) |
| Authorized Official Telephone | 3128038555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | AL9045 | FL | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | SNF130470976 | FL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Vi at Lakeside Village | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114487154 | Meridian Park Village Limited Partnership | Assisted Living Facility | 2792 Donnelly Dr, Lantana, FL 33462-6431 | 2019-03-25 |
| Street Address |
2792 DONNELLY DR |
| City | LANTANA |
| State | FL |
| Zip Code | 33462-6431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114487154 | Meridian Park Village Limited Partnership | Assisted Living Facility | 2792 Donnelly Dr, Lantana, FL 33462-6431 | 2019-03-25 |
| 1407158637 | Senior Health Care Services, Inc. | Home Health | 2792 Donnelly Dr, Lantana, FL 33462-6431 | 2010-11-19 |
| 1275846107 | Haley D Bayne | Physical Therapy Assistant | 2792 Donnelly Dr, Lantana, FL 33462-6431 | 2010-07-20 |
| 1548591217 | Mike Moise | Physical Therapy Assistant | 2792 Donnelly Dr, Lantana, FL 33462-6431 | 2010-01-20 |
| 1982935797 | Mark Warren Thomas | Occupational Therapy Assistant | 2792 Donnelly Dr, Lantana, FL 33462-6431 | 2010-01-18 |
| 1467782698 | Craig C Weston | Occupational Therapist | 2792 Donnelly Dr, Lantana, FL 33462-6431 | 2010-01-11 |
| 1124357017 | Jill A Freedline | Physical Therapist | 2792 Donnelly Dr, Lantana, FL 33462-6431 | 2009-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449503 | Brightlife Institute, LLC | Clinic/Center | 2315 Shimmery Lane, Lake Worth, FL 33462 | 2020-05-20 |
| 1760024988 | Woodelyne Marc | Home Health | 1307 Flamingo Dr, Lantan, FL 33462 | 2019-10-09 |
| 1336624428 | Jennifer Lynn Jones | Nurse Practitioner | 5401 S Congress Ave Ste 105, Atlantis, FL 33462 | 2018-09-25 |
| 1427548445 | Publix Super Markets, Inc. | Pharmacy | 262 S Ocean Blvd, Manalapan, FL 33462 | 2018-05-15 |
| 1629567474 | Perfection Rx LLC | Pharmacy | 3248 Lantana Rd, Lake Worth, FL 33462 | 2018-05-08 |
| 1942797824 | Mayra Alejandra Tovar Castro | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-17 |
| 1285131169 | Samar Ibrahim Mohamed Huss Aboulenain | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-09 |
| 1801392535 | Carla Ortega | Student in an Organized Health Care Education/Training Program | 180 Jkf Drive, Suite 210, Atlantis, FL 33462 | 2018-04-02 |
| 1811427438 | Sonia Camille | Behavior Technician | 49 Sioux Ln, Lantana, FL 33462 | 2017-06-15 |
| 1922536648 | Alyzza De La Uz Forte | Nurse Practitioner | 180 John F Kennedy Dr, 311, Atlantis, FL 33462 | 2017-05-25 |
| Find all providers in zip 33462 | ||||
| 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 |
|---|---|---|---|---|
| 1376692582 | Hamlin Terrace Foundation | Skilled Nursing Facility | 2180 Hypoluxo Rd, Lantana, FL 33462-3922 | 2007-01-09 |
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|---|---|---|---|---|
| 1306444708 | Center for Comprehensive Services, Inc. | Skilled Nursing Facility | 2411 Clement Rd, Lutz, FL 33549-5552 | 2020-10-16 |
| 1114530227 | Jupiter Rehab and Health Center LLC | Skilled Nursing Facility | 650 Pioneer Rd # 5, Jupiter, FL 33458-8834 | 2020-08-28 |
| 1821601089 | Wellington Rehab and Health Center, LLC | Skilled Nursing Facility | 10330 Nu Vista Ave, Wellington, FL 33414 | 2020-08-27 |
| 1043822349 | Oaks of Kissimmee Operations LLC | Skilled Nursing Facility | 320 N. Mitchell St, Kissimmee, FL 34741-4447 | 2020-08-18 |
| 1720690027 | Brynwood Operations LLC | Skilled Nursing Facility | 1656 S Jefferson St, Monticello, FL 32344-1652 | 2020-08-18 |
| 1326668120 | Key West Nursing Home Propco LLC | Skilled Nursing Facility | 5860 College Road, Key West, FL 33040 | 2020-04-21 |
| 1740800655 | Javara Troupe | Skilled Nursing Facility | 10043 Victory Gallop Loop, Ruskin, FL 33573-6744 | 2020-04-21 |
| 1578199303 | First Coast Health Ventures, LLC | Skilled Nursing Facility | 15480 Max Leggett Parkway, Jacksonville, FL 32218 | 2020-03-12 |
| 1053944116 | Pruitthealth - Southwood, LLC | Skilled Nursing Facility | 2301 Bluff Oak Way, Tallahassee, FL 32311-6161 | 2020-02-18 |
| 1992336895 | Dolphin Pointe Health Care, LLC | Skilled Nursing Facility | 5355 Dolphin Point Rd., Jacksonville, FL 32211 | 2020-01-29 |
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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.