ADVENTHEALTH LAKE WALES
NPI 1033770284
Psychiatric Unit in Lake Wales, FL

Active since June 27, 2019CLIA 10D0293043 · Accreditation
410 S 11TH ST, LAKE WALES, FL 33853(863) 676-1433(863) 297-1867 Get Directions Write a Review

NPPES record last updated: May 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 18, 2022, May 3, 2022, Feb 8, 2021 and 1 more (4 updates tracked since 2019).

About Adventhealth Lake Wales NPPES

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

ADVENTHEALTH LAKE WALES (NPI 1033770284) is a healthcare organization registered as a psychiatric unit in Lake Wales, Florida and active in the NPI registry since June 2019. The organization holds an CLIA Accreditation certificate valid through July 26, 2027, maintains a secondary practice location in Tampa, and lists Alan Justin Hengesbach, Cfo, as its authorized official.

NPPES Registry Identity

NPI1033770284
Entity TypeOrganization
Primary Taxonomy273R00000X
Legal Business NameADVENTHEALTH POLK SOUTH INC
Location Address410 S 11TH STLake Wales, FL 33853-4203
Mailing Address410 S 11th StLake Wales, FL 33853-4203 · (863) 676-1433 · Fax (863) 297-1867
Fax(863) 297-1867
Organization SubpartYes
Authorized OfficialAlan Justin HengesbachCfo · (863) 419-2260
Enumeration DateJune 27, 2019
Last NPPES UpdateMay 18, 20224 updates tracked since enumeration
NPPES CertifiedMay 18, 2022
NPI 1033770284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatric UnitHospital Units
Taxonomy Code273R00000X
Definition
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.
410 S 11TH ST, Lake Wales, FL 33853

Other Names 1

Doing Business AsAdventhealth Lake Wales

Secondary Practice Location 1

Location 114055 Riveredge Dr Ste 250Tampa, FL 33637-2141 · Phone (863) 419-2260

Accepted Insurance

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 Accreditation 10D0293043

Adventhealth Lab · Lake Wales, FL
Active · expires Jul 26, 2027
CLIA Number10D0293043
Laboratory TypeHospital
Certificate Effective DateJuly 27, 2025
Certificate Expiration DateJuly 26, 2027
Laboratory DirectorDr. Edgar Morales
Laboratory Phone(863) 679-6830
Laboratory LocationAdventhealth Lab410 S 11th St Attn Lab, Lake Wales, FL 33853
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

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

Anesthesiologist Assistant
410 S 11TH ST
LAKE WALES, FL 33853
Internal Medicine
410 S 11TH ST
LAKE WALES, FL 33853
Anesthesiology
410 S 11TH ST
LAKE WALES, FL 33853
General Acute Care Hospital
410 S 11TH ST
LAKE WALES, FL 33853
Emergency Medicine
410 S 11TH ST
LAKE WALES, FL 33853
General Acute Care Hospital
410 S 11TH ST
LAKE WALES, FL 33853
Emergency Medicine
410 S 11TH ST
LAKE WALES, FL 33853
Anesthesiology
410 S 11TH ST
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 Adventhealth Polk South Inc's NPI number?

The NPI number for Adventhealth Polk South Inc is 1033770284. It was assigned to this organization in the NPPES registry on June 27, 2019. The provider is doing business as Adventhealth Lake Wales.

Where is Adventhealth Polk South Inc located?

Adventhealth Polk South Inc is located at 410 S 11th St, Lake Wales, FL 33853. The listed phone number is (863) 676-1433.

What is Adventhealth Polk South Inc's specialty?

The primary specialty registered for this NPI is Psychiatric Unit with taxonomy code 273R00000X.

Does Adventhealth Polk South Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 10D0293043) is associated with this NPI, valid through July 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Adventhealth Polk South Inc accept?

Health plans from Health First Commercial Plans, Inc. list Adventhealth Polk South Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Adventhealth Polk South Inc was last updated on May 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.