PATH OF LIFE OF LAKE WORTH
NPI 1255873097
Assisted Living Facility in Lake Worth, FL

Active since November 10, 2016
87 W RUBBER TREE DR, LAKE WORTH, FL 33467(561) 968-8344 Get Directions Write a Review

NPPES record last updated: November 10, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Assisted Living Facility

About PATH OF LIFE OF LAKE WORTH

This page provides the complete NPI Profile along with additional information for Path Of Life Of Lake Worth, a provider established in Lake Worth, Florida operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1255873097 assigned on November 2016. The practitioner's primary taxonomy code is 310400000X with license number AL12929 (FL). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Jessica Hernandez R.n. (Administrator)

NPI
1255873097 Verify this NPI
Provider Name
PATH OF LIFE OF LAKE WORTH
Entity Type
Organization
Location Address
87 W RUBBER TREE DR LAKE WORTH, FL 33467
Location Phone
(561) 968-8344
Mailing Address
87 W RUBBER TREE DR LAKE WORTH, FL 33467
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-10-2016
Last Update Date
11-10-2016
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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

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
AL12929
License State
FL
Taxonomy Description
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.

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

JESSICA HERNANDEZ R.N.

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(305) 282-2620

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Assisted Living Facility
87 W RUBBER TREE DR
LAKE WORTH, FL 33467

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255873097, enumerated as an "organization" on November 10, 2016.

The provider is located at 87 W RUBBER TREE DR LAKE WORTH, FL 33467 and the phone number is (561) 968-8344.

Assisted Living Facility with taxonomy code 310400000X.