LAKE WALES SNF LLC
NPI 1023972932
Skilled Nursing Facility in Lake Wales, FL

Active since December 15, 2025CLIA 10D0708760 · Waiver
730 N SCENIC HWY, LAKE WALES, FL 33853(863) 676-1512 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 28, 2026, Dec 15, 2025 (2 updates tracked since 2025).

About Lake Wales Snf Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE WALES SNF LLC (NPI 1023972932) is a healthcare organization registered as a skilled nursing facility in Lake Wales, Florida and active in the NPI registry since December 2025. The organization holds a CLIA Waiver certificate valid through August 4, 2026 and lists Aharon Katz, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1023972932
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLAKE WALES SNF LLC
Location Address730 N SCENIC HWYLake Wales, FL 33853-3208
Mailing Address730 N Scenic HwyLake Wales, FL 33853-3208 · (863) 676-1512
Organization SubpartNo
Authorized OfficialAharon KatzAuthorized Official · (917) 757-2121
Enumeration DateDecember 15, 2025
Last NPPES UpdateApril 28, 20262 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
NPI 1023972932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition

(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.

730 N SCENIC HWY, Lake Wales, FL 33853

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0708760

Lake Wales Operating Group LLC · Lake Wales, FL
Active · expires Aug 4, 2026
CLIA Number10D0708760
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 5, 2024
Certificate Expiration DateAugust 4, 2026
Laboratory DirectorStephen Webber
Laboratory Phone(863) 676-1512
Laboratory LocationLake Wales Operating Group LLC730 N Scenic Hwy, Lake Wales, FL 33853
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
730 N SCENIC HWY
LAKE WALES, FL 33853
Occupational Therapist
730 N SCENIC HWY
LAKE WALES, FL 33853
Skilled Nursing Facility
730 N SCENIC HWY
LAKE WALES, FL 33853
Skilled Nursing Facility
730 N SCENIC HWY
LAKE WALES, FL 33853

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Wales Snf LLC's NPI number?

The NPI number for Lake Wales Snf LLC is 1023972932. It was assigned to this organization in the NPPES registry on December 15, 2025.

Where is Lake Wales Snf LLC located?

Lake Wales Snf LLC is located at 730 N Scenic Hwy, Lake Wales, FL 33853. The listed phone number is (863) 676-1512.

What is Lake Wales Snf LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Lake Wales Snf LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0708760) is associated with this NPI, valid through August 4, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lake Wales Snf LLC was last updated on April 28, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.