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Active NPI 1629238159 Organization (Entity Type 2) Subpart Facility

Mf Lake Eustis Llc

Skilled Nursing Facility • Eustis, FL

Parent Organization: Florida Facilities Llc

About Mf Lake Eustis Llc NPI 1629238159 Summary

Mf Lake Eustis Llc is a verified healthcare organization specializing in Skilled Nursing Facility operating in Eustis, FL. Located at 411 W WOODWARD AVE, this facility provides patient care and medical services under National Provider Identifier (NPI) 1629238159.

Mf Lake Eustis Llc operates as a subpart facility of Florida Facilities Llc. Administrative operations and authorized compliance are overseen by James Richardson (President).

The facility is associated with 3 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

411 W Woodward Ave

Eustis, FL 327264554

Telephone 3523573565

Authorized Official Information

Authorized Contact Name

James Richardson

Title / Role

President

Official Telephone

8504300000

Facility Classifications & Specialties

Skilled Nursing Facility Primary Taxonomy

NUCC Taxonomy Code: 314000000X

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

3 Linked

Nurse Practitioner

Eustis, FL

View Practitioner Profile →

Speech-Language Pathologist

Eustis, FL

View Practitioner Profile →

Physical Therapist

Eustis, FL

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active October 05, 2015

NPI status registered as active in NPPES database

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Updated Practice Location October 05, 2015

Registered at 411 W WOODWARD AVE, EUSTIS, FL 327264554 (Tel: 3523573565)

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Updated Business Mailing Address October 05, 2015

Registered at 40 SOUTH PALAFOX PLACE, SUITE 400, PENSACOLA, FL 325025697

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Organization / Clinic Name Updated October 05, 2015

Operating as MF LAKE EUSTIS LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2015

Skilled Nursing Facility

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Initial NPI Registration & Enumeration June 09, 2008

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1629238159
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: June 09, 2008
Last Update: October 05, 2015

Mailing Address

40 South Palafox Place, Suite 400

Pensacola, FL 325025697

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.