LAKE OKEECHOBEE ALF, LLC (NPI# 1972895720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972895720 |
| Entity Type | Organization |
| Organization Name | LAKE OKEECHOBEE ALF, LLC |
| Other Organization Name | BELLE MEAD PALM BEACH COUNTY |
| Practice Address |
120 State Market Rd Pahokee FL 33476-1542 |
| Mailing Address |
631 Us Highway 1 Suite #303 North Palm Beach FL 33408-4617 |
| Practice Telephone | 5619240010 |
| Practice Fax Number | 5619240080 |
| Mailing Telephone | 5618457767 |
| Mailing Fax Number | 5618287641 |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2011-05-12 |
| Authorized Official Name | MS. DEBORAH C PECK (MANAGING MEMBER) |
| Authorized Official Telephone | 5618457767 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
AL11952 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | ACHA LICENSE | AL11952 | 01 |
| Other Name | Type Code |
|---|---|
| Belle Mead Palm Beach County | Doing Business As Name - Organization |
| Street Address |
120 STATE MARKET RD |
| City | PAHOKEE |
| State | FL |
| Zip Code | 33476-1542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528698321 | Dignity Healing LLC | Substance Abuse Rehabilitation Facility | 120 State Market Rd, Pahokee, FL 33476-1542 | 2020-01-21 |
| 1356766158 | Recovery Resources Enterprises | Substance Abuse Rehabilitation Facility | 120 State Market Rd, Pahokee, FL 33476-1542 | 2014-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982237988 | Shekinah Family Medical Centers LLC | Internal Medicine | 279 S. Lake Avenue, Pahokee, FL 33476 | 2020-02-18 |
| 1366951600 | Leticia Kelly | Technician | 509 Pahokee Cir, Pahokee, FL 33476 | 2017-09-28 |
| 1013383595 | Pahokee Healthcare Incorporated | Dentist | 170 Barfield Highway, Suite 104, Pahokee, FL 33476 | 2015-08-19 |
| 1043524127 | Grace Healthcare Solutions, Inc. | Clinic/Center | 7368 State Road 15, Us 441, Pahokee, FL 33476 | 2010-08-02 |
| 1720014566 | Marie E Duthil | Internal Medicine | 279 S Lake Ave, Pahokee, FL 33476 | 2006-06-23 |
| 1154304046 | Aids Healthcare Foundation | Clinic/Center | 170 S Barfield Highway, Suite 106, Pahokee, FL 33476 | 2005-11-23 |
| 1639471659 | Michelet Felix | Nurse Practitioner | 279 S Lake Ave, Pahokee, FL 33476 | 2010-11-23 |
| 1851311963 | Phillip C Crawford | Dentist | 1200 E Main St, Pahokee, FL 33476-1102 | 2006-07-20 |
| 1972545911 | Elizabeth Stevenson Ford | Nurse Practitioner | 1200 E Main St, Pahokee, FL 33476-1102 | 2006-06-12 |
| 1467726257 | Florida Department of Health | Public Health or Welfare | 1839 East Main Street, Pahokee, FL 33476-1113 | 2012-02-27 |
| Find all providers in zip 33476 | ||||
| Taxonomy Code | 3104A0630X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Behavioral Disturbances |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040354 | Jaime E Hatch | Assisted Living Facility | 86374 Peeples Rd, Yulee, FL 32097-3387 | 2020-10-13 |
| 1730711219 | North Florida Senior Living LLC | Assisted Living Facility | 541103 Lem Turner Rd, Callahan, FL 32011-8546 | 2020-02-12 |
| 1144860206 | Iconnect Jax | Assisted Living Facility | 4372 Southside Blvd Ste 203, Jacksonville, FL 32216-8503 | 2020-01-07 |
| 1013495175 | Sunshine Assisted Living Home Care Facility. | Assisted Living Facility | 1422 Se 23rd Ter., Crape Coral, FL 33990 | 2018-08-01 |
| 1790276905 | Villa Rosa Iv, Inc. | Assisted Living Facility | 3051 E. 4 Avenue, Hialeah, FL 33013 | 2018-05-23 |
| 1679062814 | Interdisciplinary Healthcare Services LLC | Assisted Living Facility | 12751 Sw 226 Street, Miami, FL 33170 | 2018-05-03 |
| 1104368240 | Jermaine Jordan | Assisted Living Facility | 1210 Retreat View Cir, Sanford, FL 32771-7276 | 2016-11-07 |
| 1346617412 | Louise Irving | Assisted Living Facility | 4561 Sw 36th St, West Park, FL 33023-5511 | 2015-08-25 |
| 1821473000 | A-1 Medical and Behavioral Management Svc | Assisted Living Facility | 2822 54th Ave S, # 215, St Petersburg, FL 33712-4610 | 2015-07-29 |
| 1730574906 | Jordico LLC | Assisted Living Facility | 4417 13th Street, Suite 142, Saint Cloud, FL 34769 | 2015-04-03 |
| 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.