Colonial Lakes Health Care

LBN: 15204 West Colonial Drive Operations Llc
Colonial Lakes Health Care is an health care organization with primary practice located at 15204 W Colonial Dr , Winter Garden FL 34787-6042. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. 15204 West Colonial Drive Operations Llc can be contacted via phone (407) 877-2394, or through Ussery, Kenneth via phone (407) 571-1550.

Contact Information

Primary practice address
15204 W Colonial Dr Winter Garden FL 34787-6042
Phone: (407) 877-2394
Fax: (407) 877-6143
Website:
Map and Directions
Authorized official contact:
Name: Ussery, Kenneth
Phone: (407) 571-1550

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF1610096 Florida

Profile Details

NPI number 1831468610
LBN Legal business name 15204 West Colonial Drive Operations Llc
DBA Doing business as Colonial Lakes Health Care
Authorized official Ussery, Kenneth
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2011
Last updated Nov 27th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831468610 NPPES
Florida MEDICAID 004385400

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