LAKE PARK OF MADISON
NPI 1184876914
Skilled Nursing Facility in Madison, FL

Active since October 10, 2008
259 SW CAPTAIN BROWN RD, MADISON, FL 32340(850) 973-8277(850) 973-4006 Get Directions Write a Review

NPPES record last updated: October 10, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Park Of Madison NPPES

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

LAKE PARK OF MADISON (NPI 1184876914) is a healthcare organization registered as a skilled nursing facility in Madison, Florida and active in the NPI registry since October 2008. The organization lists Steven D Womack, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1184876914
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLAKE PARK OF MADISON, LLC
Location Address259 SW CAPTAIN BROWN RDMadison, FL 32340-4316
Mailing AddressPo Box 3343Hickory, NC 28603-3343 · (828) 324-8898 · Fax (828) 322-9598
Fax(850) 973-4006
Organization SubpartNo
Authorized OfficialSteven D WomackManaging Member · (828) 324-8898
Enumeration DateOctober 10, 2008
NPI 1184876914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in FL · SNF16360961
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.
259 SW CAPTAIN BROWN RD, Madison, FL 32340

Other Names 1

Doing Business AsLake Park Of Madison

Other Identifiers 1

Medicare OSCAR/certification105892FL

Other Providers at the Same Location NPPES 5

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

Skilled Nursing Facility
259 SW CAPTAIN BROWN RD
MADISON, FL 32340
Skilled Nursing Facility
259 SW CAPTAIN BROWN RD
MADISON, FL 32340
Occupational Therapist
259 SW CAPTAIN BROWN RD
MADISON, FL 32340
Physical Therapy Assistant
259 SW CAPTAIN BROWN RD
MADISON, FL 32340
Skilled Nursing Facility
259 SW CAPTAIN BROWN RD
MADISON, FL 32340

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 Park Of Madison, LLC's NPI number?

The NPI number for Lake Park Of Madison, LLC is 1184876914. It was assigned to this organization in the NPPES registry on October 10, 2008. The provider is doing business as Lake Park Of Madison.

Where is Lake Park Of Madison, LLC located?

Lake Park Of Madison, LLC is located at 259 SW Captain Brown Rd, Madison, FL 32340. The listed phone number is (850) 973-8277.

What is Lake Park Of Madison, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Lake Park Of Madison, LLC was last updated on October 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.