ANTHEM LAKES
NPI 1093222515
Assisted Living Facility in Jacksonville, FL
About Anthem Lakes NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANTHEM LAKES (NPI 1093222515) is a healthcare organization registered as an assisted living facility in Jacksonville, Florida and active in the NPI registry since January 2018. The organization holds a CLIA Waiver certificate valid through February 6, 2027 and lists Johnpaul Louis Goode, Operations Liaison, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 10D2125378
Vop Anthem Lakes, LLC Dba Anthem Lakes · Jacksonville, FLOther Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Anthem Lakes's NPI number?
The NPI number for Anthem Lakes is 1093222515. It was assigned to this organization in the NPPES registry on January 5, 2018.
Where is Anthem Lakes located?
Anthem Lakes is located at 905 Assisi Ln, Jacksonville, FL 32233. The listed phone number is (904) 746-7220.
What is Anthem Lakes's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Anthem Lakes hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2125378) is associated with this NPI, valid through February 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Anthem Lakes was last updated on January 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Anthem Lakes · NPI 1093222515
Assisted Living Facility organization in Jacksonville, Florida. Organization record, active in the CMS NPPES registry since January 5, 2018.
## Identity
- **NPI:** 1093222515 (Entity type: Organization)
- **Enumerated:** January 5, 2018
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** No
- **Authorized official:** Johnpaul Goode, OPERATIONS LIAISON
## Practice location
- **Address:** 905 ASSISI LN, Jacksonville, FL 32233-2972
- **Phone:** (904) 746-7220
## Record status
- **NPPES last updated:** January 5, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1093222515) · Data from the CMS NPPES public registry.