LAKE PARK SNF LLC (NPI# 1912106683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912106683 |
| Entity Type | Organization |
| Organization Name | LAKE PARK SNF LLC |
| Other Organization Name | NORTH LAKE REHABILITATION AND HEALTH CENTER |
| Practice Address |
750 Bayberry Dr Lake Park FL 33403-3248 |
| Mailing Address |
1835 Ne Miami Gardens Dr #368 North Miami Beach FL 33179-5035 |
| Practice Telephone | 5618818144 |
| Practice Fax Number | 5618448352 |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2013-07-10 |
| Authorized Official Name | MR. TZVI BOGOMILSKY (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 3054017901 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 032516300 | 05 |
| Other Name | Type Code |
|---|---|
| North Lake Rehabilitation and Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376519934 | Lake Park Snf LLC | Skilled Nursing Facility | 750 Bayberry Dr, Lake Park, FL 33403-3248 | 2006-02-24 |
| Street Address |
750 BAYBERRY DR |
| City | LAKE PARK |
| State | FL |
| Zip Code | 33403-3248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376519934 | Lake Park Snf LLC | Skilled Nursing Facility | 750 Bayberry Dr, Lake Park, FL 33403-3248 | 2006-02-24 |
| 1083091441 | North Lake Facility Inc | Skilled Nursing Facility | 750 Bayberry Dr, Lake Park, FL 33403-3248 | 2015-05-05 |
| 1376969295 | Advanced Reg Nurse Practitioner Theraputic Heath Service | Nurse Practitioner | 750 Bayberry Dr, Lake Park, FL 33403-3248 | 2014-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396391355 | Brittany Oclon | Physical Therapist | 3450 Northlake Blvd., Suite 101, Palm Beach Gardens, FL 33403 | 2019-08-15 |
| 1558836668 | Daniel Patirck Harrison | Nurse Practitioner | 903 Lake Shore Drive, Apt. 102, West Palm Beach, FL 33403 | 2018-10-04 |
| 1073099453 | Lashunda Blackshear | Nurse Practitioner | 538 Cypress Drive, Lake Park, FL 33403 | 2018-07-18 |
| 1659864049 | Tara E Turene | Behavior Technician | 900 Burma Road, Suit 109, Palm Beach Gardens, FL 33403 | 2018-06-11 |
| 1437672748 | Reasons for Change, LLC | Community Based Residential Treatment Facility, Mental Illness | 143 Silver Beach Road, Lake Park, FL 33403 | 2017-07-18 |
| 1427587815 | Kristin Barahona | Behavioral Analyst | 9000 Burma Road Suite 109, Palm Beach Gardens, FL 33403 | 2017-06-08 |
| 1497284855 | Brigitte Mallary Toledo | Behavioral Analyst | 9000 Burma Road, Suite 109, Palm Beach Gardens, FL 33403 | 2017-06-08 |
| 1568914539 | Daniel & Max, LLC | Optometrist | 3331 Northlake Blvd, Suite 1, Palm Beach Gardens, FL 33403 | 2016-10-26 |
| 1144778028 | Griffee Dental I Pa | Dentist | 3333 Northlake Blvd, Ste 6, Palm Beach Gardens, FL 33403 | 2016-09-20 |
| 1982158929 | Academy Whole Health Solutions | Substance Abuse Rehabilitation Facility | 504 10th St, Lake Park, FL 33403 | 2016-08-08 |
| Find all providers in zip 33403 | ||||
| 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 |
|---|---|---|---|---|
| 1124563994 | Pearl Valley Rehabilitation and Nursing At Lake Park, LLC | Skilled Nursing Facility | 1304 S Market St, Lake Park, IA 51347-1060 | 2017-01-03 |
| 1831126374 | Sunnyside Nursing Home | Skilled Nursing Facility | 16561 Us Highway 10, Lake Park, MN 56554-9302 | 2006-06-28 |
| 1376519934 | Lake Park Snf LLC | Skilled Nursing Facility | 750 Bayberry Dr, Lake Park, FL 33403-3248 | 2006-02-24 |
| 1568444792 | Signature Properties of Lake Park, LLC | Skilled Nursing Facility | 1304 South Market, Lake Park, IA 51347-1060 | 2005-11-15 |
| 1083091441 | North Lake Facility Inc | Skilled Nursing Facility | 750 Bayberry Dr, Lake Park, FL 33403-3248 | 2015-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LAKE PARK SNF LLC.
| 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.