Lisenby On Lake Caroline

LBN: Lisenby Lllp
Lisenby On Lake Caroline is an health care organization with primary practice located at 1400 West Eleventh Street , Panama City FL 32401-1896. 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. Lisenby Lllp can be contacted via phone (850) 785-6121, or through Schultz, Kenneth H. via phone (407) 645-3211.

Contact Information

Primary practice address
1400 West Eleventh Street Panama City FL 32401-1896
Phone: (850) 785-6121
Fax: (850) 747-3696
Website:
Map and Directions
Authorized official contact:
Name: Schultz, Kenneth H.
Phone: (407) 645-3211

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF1296096 Florida

Profile Details

NPI number 1306940606
LBN Legal business name Lisenby Lllp
DBA Doing business as Lisenby On Lake Caroline
Authorized official Schultz, Kenneth H.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2006
Last updated Jun 2nd, 2014 - about 12 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 1306940606 NPPES
Florida MEDICAID 020398000

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