Island Lake Center

LBN: Island Lake Center, Llc
Island Lake Center is an health care organization with primary practice located at 155 Landover Pl , Longwood FL 32750-4924. 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. Island Lake Center, Llc can be contacted via phone (407) 830-7744, or through Terrano, Monica via phone (718) 852-7000.

Contact Information

Primary practice address
155 Landover Pl Longwood FL 32750-4924
Phone: (407) 830-7744
Fax: (407) 830-7926
Website:
Map and Directions
Authorized official contact:
Name: Terrano, Monica
Phone: (718) 852-7000

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF13460963 Florida

Profile Details

NPI number 1245228279
LBN Legal business name Island Lake Center, Llc
DBA Doing business as Island Lake Center
Authorized official Terrano, Monica
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2005
Last updated Feb 27th, 2024 - about 2 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 1245228279 NPPES
Florida MEDICAID 026065700
Florida Other 71-00367
Florida Other 0004438180
Florida Other C1055643
Florida Other K3S

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