LAKE PLACID NURSING SNF LLC
NPI 1134007404
Skilled Nursing Facility in Lake Placid, FL

Active since August 25, 2025
125 TOMOKA BLVD S, LAKE PLACID, FL 33852(863) 465-7200 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Skilled Nursing Facility

About LAKE PLACID NURSING SNF LLC

This page provides the complete NPI Profile along with additional information for Lake Placid Nursing Snf Llc, a provider established in Lake Placid, Florida operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1134007404 assigned on August 2025. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Charles Tessler (Authorized Official)

NPI
1134007404 Verify this NPI
Provider Name
LAKE PLACID NURSING SNF LLC
Entity Type
Organization
Location Address
125 TOMOKA BLVD S LAKE PLACID, FL 33852
Location Phone
(863) 465-7200
Mailing Address
1535 ROCKAWAY PKWY BROOKLYN, NY 11236
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-25-2025
Last Update Date
08-25-2025
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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

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
(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.

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

CHARLES TESSLER

Authorized Official Title
AUTHORIZED OFFICIAL
Authorized Official Phone
(347) 219-1330

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Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Skilled Nursing Facility
125 TOMOKA BLVD S
LAKE PLACID, FL 33852
Physical Therapist
125 TOMOKA BLVD S
LAKE PLACID, FL 33852
Occupational Therapist
125 TOMOKA BLVD S
LAKE PLACID, FL 33852
Skilled Nursing Facility
125 TOMOKA BLVD S
LAKE PLACID, FL 33852
Occupational Therapy Assistant
125 TOMOKA BLVD S
LAKE PLACID, FL 33852
Speech-Language Pathologist
125 TOMOKA BLVD S
LAKE PLACID, FL 33852
Physical Therapist
125 TOMOKA BLVD S
LAKE PLACID, FL 33852
Physical Therapy Assistant
125 TOMOKA BLVD S
LAKE PLACID, FL 33852
Speech-Language Pathologist
125 TOMOKA BLVD S
LAKE PLACID, FL 33852
Skilled Nursing Facility
125 TOMOKA BLVD S
LAKE PLACID, FL 33852

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134007404, enumerated as an "organization" on August 25, 2025.

The provider is located at 125 TOMOKA BLVD S LAKE PLACID, FL 33852 and the phone number is (863) 465-7200.

Skilled Nursing Facility with taxonomy code 314000000X.