LAKE GIBSON VILLAGE,LLC
NPI 1427547025
Assisted Living Facility in Lakeland, FL

NPI Status: Active since May 09, 2018

Contact Information

771 CARPENTERS WAY
LAKELAND, FL
ZIP 33809
Phone: (850) 766-3712

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  • Organization
  • Assisted Living Facility

About LAKE GIBSON VILLAGE,LLC

This page provides the complete NPI Profile along with additional information for Lake Gibson Village,llc, a provider established in Lakeland, Florida operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1427547025 assigned on May 2018. The practitioner's primary taxonomy code is 310400000X with license number 13081 (FL). The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Renee Tucker (Chief Executive Officer)

NPI
1427547025
Provider Name
LAKE GIBSON VILLAGE,LLC
Entity Type
Organization
Location Address
771 CARPENTERS WAY LAKELAND, FL 33809
Location Phone
(850) 766-3712
Mailing Address
771 CARPENTERS WAY LAKELAND, FL 33809
Mailing Phone
(850) 766-3712
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-09-2018
Last Update Date
05-09-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
13081
License State
FL
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RENEE TUCKER

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(850) 766-3712

Reviews for LAKE GIBSON VILLAGE,LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427547025
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24471041404
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 1 + 0 + 4 + 1 + 4 + 0 + 4 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1427547025 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043792914 DESANN MARIE MAUL DPT
Individual
Physical Therapist771 CARPENTERS WAY
LAKELAND, FL 33809
(727) 803-1102
1548679616DR. ASHLEY FRANCES HAMAROWICZ PT, DPT
Individual
Physical Therapist771 CARPENTERS WAY
LAKELAND, FL 33809
(727) 803-1102
1962065284 JASON A. PERALTA PT
Individual
Physical Therapist771 CARPENTERS WAY
LAKELAND, FL 33809
(727) 803-1102
1235784521 PAULENE CHARLES-MALCOLM OTD
Individual
Occupational Therapist771 CARPENTERS WAY
LAKELAND, FL 33809
(727) 803-1102
1033765581 TARA MARSH PTA
Individual
Physical Therapy Assistant771 CARPENTERS WAY
LAKELAND, FL 33809
(727) 803-1102
1942901970SUNSHINE CARE PARTNERS INC.
Organization
General Practice771 CARPENTERS WAY
LAKELAND, FL 33809
(800) 491-6972
1801673843SUNSHINE CARE PARTNERS OF FLORIDA
Organization
General Practice771 CARPENTERS WAY
LAKELAND, FL 33809
(800) 491-6972

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427547025, enumerated in the NPI registry as an "organization" on May 09, 2018

The provider is located at 771 Carpenters Way Lakeland, Fl 33809 and the phone number is (850) 766-3712

This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X

This NPI record was last updated on May 09, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.