LAKEVIEW TERRACE HEALTH CARE CENTER LLC (NPI# 1639271349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639271349 |
| Entity Type | Organization |
| Organization Name | LAKEVIEW TERRACE HEALTH CARE CENTER LLC |
| Other Organization Name | LAKEVIEW TERRACE SKILLED NURSING FACILITY |
| Practice Address |
110 Lodge Terrace Drive Altoona FL 32702 |
| Mailing Address |
1890 State Road 436 Suite 300 Winter Park FL 32792-2285 |
| Practice Telephone | 3526692133 |
| Practice Fax Number | 3526691170 |
| Mailing Telephone | 4076453211 |
| Mailing Fax Number | 4076282853 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2014-06-02 |
| Authorized Official Name | MR. KENNETH H. SCHULTZ (PRESIDENT) |
| Authorized Official Telephone | 4076453211 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | SNF12860961 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 0259225000 | 05 |
| Other Name | Type Code |
|---|---|
| Lakeview Terrace Skilled Nursing Facility | Doing Business As Name - Organization |
| Street Address |
110 LODGE TERRACE DRIVE |
| City | ALTOONA |
| State | FL |
| Zip Code | 32702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003302993 | Community Supports, Inc. | Assisted Living Facility | 110 Lodge Terrace Drive, Altoona, FL 32702 | 2018-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891243986 | Lynne Thall | Nurse Practitioner | 18121 Boys Ranch Rd, Altoona, FL 32702-9090 | 2016-09-17 |
| 1386157998 | Harmony Hills, LLC. | Substance Abuse Rehabilitation Facility | 18121 Boys Ranch Rd, Altoona, FL 32702-9090 | 2017-11-06 |
| 1922511542 | Harmony Hills, LLC. | Clinic/Center | 18307 Boys Ranch Rd, Altoona, FL 32702-9093 | 2017-11-06 |
| 1700403730 | Harmony Hills Behavioral Health, LLC | Psychiatric Residential Treatment Facility | 18307 Boys Ranch Rd, Altoona, FL 32702-9093 | 2020-06-25 |
| 1366096463 | Palm Beach Recovery LLC | Substance Abuse Rehabilitation Facility | 18307 Boys Ranch Rd, Altoona, FL 32702-9093 | 2019-07-26 |
| 1851878136 | Crystal Isola Christian | Nurse Practitioner | 18307 Boys Ranch Rd, Altoona, FL 32702-9093 | 2018-07-19 |
| 1629581269 | Harmony Hills, LLC. | Clinic/Center | 18307 Boys Ranch Rd, Altoona, FL 32702-9093 | 2017-11-06 |
| 1851832612 | Glenn Strouse | Behavioral Analyst | 20415 Canvas Back Rd, Altoona, FL 32702-9400 | 2017-03-13 |
| 1952704686 | Dawn A Wilson | Counselor | 42141 W Lakeview Dr, Altoona, FL 32702-9508 | 2014-10-08 |
| 1730551177 | Jennifer Matthews | Physical Therapy Assistant | 45920 Michigan Rd, Altoona, FL 32702-9658 | 2015-10-26 |
| Find all providers in zip 32702 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790972099 | Assisted Living Concepts Inc | Assisted Living Facility | 342 Twin Oak Drive, Altoona, WI 54720 | 2007-10-01 |
| 1003302993 | Community Supports, Inc. | Assisted Living Facility | 110 Lodge Terrace Drive, Altoona, FL 32702 | 2018-07-03 |
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|---|---|---|---|---|
| 1689275372 | Loving Family Senior Care, LLC | Assisted Living Facility | 2323 Nw 34th St, Miami, FL 33142-5307 | 2020-11-08 |
| 1548861230 | Allure A&l Inc | Assisted Living Facility | 13692 Carlton St, Wellington, FL 33414-7748 | 2020-11-08 |
| 1982205787 | Pd & Sr, L.L.C. | Assisted Living Facility | 730 Frisco St Se, Palm Bay, FL 32909-3711 | 2020-11-06 |
| 1982205019 | Cantillo Love & Care LLC | Assisted Living Facility | 1045 W 23rd St, Hialeah, FL 33010-1922 | 2020-11-04 |
| 1194326728 | Bliss Life Residential Care | Assisted Living Facility | 402 Arthur Ave, Lehigh Acres, FL 33936-7412 | 2020-11-02 |
| 1811597404 | Huguette Mortimer Dupont | Assisted Living Facility | 1596 Sw Paar Dr, Port St Lucie, FL 34953-6159 | 2020-11-01 |
| 1750981841 | Senior Living Properties IIi, LLC | Assisted Living Facility | 3791 Old Canoe Creek Rd, Saint Cloud, FL 34769-6630 | 2020-10-28 |
| 1417556028 | 5081 Cambridge LLC | Assisted Living Facility | 5081 Nw Dunn Rd, Fort Pierce, FL 34981-4942 | 2020-10-23 |
| 1134728926 | Pacifica Lauderhill LLC | Assisted Living Facility | 5500 Nw 69th Ave, Lauderhill, FL 33319-7266 | 2020-10-22 |
| 1760081749 | Hsre-ahr Zephyrhills LLC | Assisted Living Facility | 38130 Pretty Pond Road, Zephyrhills, FL 33540 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
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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.