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PCP LAKESHORE DRIVE OPCO LLC
NPI 1164103883
Assisted Living Facility in Tallahassee, FL

Active since July 26, 2023
2516 LAKESHORE DR, TALLAHASSEE, FL 32312(850) 616-6253 Get Directions Write a Review

NPPES record last updated: July 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pcp Lakeshore Drive Opco Llc NPPES

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

PCP LAKESHORE DRIVE OPCO LLC (NPI 1164103883) is a healthcare organization registered as an assisted living facility in Tallahassee, Florida and active in the NPI registry since July 2023. The organization lists Seth Walker, Cfo, Srim, as its authorized official.

NPPES Registry Identity

NPI1164103883
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePCP LAKESHORE DRIVE OPCO LLC
Location Address2516 LAKESHORE DRTallahassee, FL 32312-2104
Mailing Address2573 Barrington CirTallahassee, FL 32308-6805
Phone(850) 616-6253
Organization SubpartNo
Authorized OfficialSeth WalkerCfo, Srim · (850) 583-7990
Enumeration DateJuly 26, 2023
NPPES CertifiedJuly 26, 2023
✔ NPI 1164103883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
2516 LAKESHORE DR, Tallahassee, FL 32312
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Other Providers at the Same Location NPPES 3

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

FORTUNATO FRANCO JR. PT, DPT
Physical Therapist
2516 LAKESHORE DR
TALLAHASSEE, FL 32312
Leon County (850) 739-7278
TALLAHASSEE NHHI, LLC
Assisted Living Facility
2516 LAKESHORE DR
TALLAHASSEE, FL 32312
Leon County (850) 536-8600
ANGELA MARIE FALZOI OTR/L
Occupational Therapist
2516 LAKESHORE DR
TALLAHASSEE, FL 32312
Leon County (850) 318-5805

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 Pcp Lakeshore Drive Opco LLC's NPI number?

The NPI number for Pcp Lakeshore Drive Opco LLC is 1164103883. It was assigned to this organization in the NPPES registry on July 26, 2023.

Where is Pcp Lakeshore Drive Opco LLC located?

Pcp Lakeshore Drive Opco LLC is located at 2516 Lakeshore Dr, Tallahassee, FL 32312. The listed phone number is (850) 616-6253.

What is Pcp Lakeshore Drive Opco LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Pcp Lakeshore Drive Opco LLC was last updated on July 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.