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SOUTHERN GARDENS, LLC
NPI 1285751370
Assisted Living Facility in Lake Alfred, FL

Active since March 23, 2007
255 E MAIN ST, LAKE ALFRED, FL 33850(863) 956-0411(863) 956-0164 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southern Gardens, Llc NPPES

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

SOUTHERN GARDENS, LLC (NPI 1285751370) is a healthcare organization registered as an assisted living facility in Lake Alfred, Florida and active in the NPI registry since March 2007. The organization lists Debra J Earp, Controller, as its authorized official.

NPPES Registry Identity

NPI1285751370
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSOUTHERN GARDENS, LLC
Location Address255 E MAIN STLake Alfred, FL 33850-2133
Mailing Address255 E Main StLake Alfred, FL 33850-2133 · (863) 956-0411 · Fax (863) 956-0164
Phone(863) 956-0411
Fax(863) 956-0164
Organization SubpartNo
Authorized OfficialDebra J EarpController · (863) 293-0072
Enumeration DateMarch 23, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1285751370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in FL · 8937
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.
255 E MAIN ST, Lake Alfred, FL 33850
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Other Providers at the Same Location NPPES 8

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

ANDREA DON REXROAD PTA
Physical Therapy Assistant
255 E MAIN ST
LAKE ALFRED, FL 33850
Polk County (863) 956-0411
MRS. CAITLIN COULTON COTA/L
Occupational Therapy Assistant
255 E MAIN ST
LAKE ALFRED, FL 33850
Polk County (863) 956-0411
SHERI ANNETTE FOLLIS PTA
Physical Therapy Assistant
255 E MAIN ST
LAKE ALFRED, FL 33850
Polk County (863) 662-5690
SOUTHERN GARDENS FL AL MANAGEMENT LLC
Assisted Living Facility
255 E MAIN ST
LAKE ALFRED, FL 33850
Polk County (863) 956-0411
DR. KYLIE T ODPARLIK PT, DPT
Physical Therapist
255 E MAIN ST
LAKE ALFRED, FL 33850
Polk County (863) 956-0411
NIC 4 SOUTHERN GARDENS LEASING LLC
Assisted Living Facility
255 E MAIN ST
LAKE ALFRED, FL 33850
Polk County (212) 479-5343
TARA WOODWARD PTA
Physical Therapy Assistant
255 E MAIN ST
LAKE ALFRED, FL 33850
Polk County (863) 956-0411
JEFF GALLICHAN PTA
Physical Therapy Assistant
255 E MAIN ST
LAKE ALFRED, FL 33850
Polk County (727) 803-1102

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 Southern Gardens, LLC's NPI number?

The NPI number for Southern Gardens, LLC is 1285751370. It was assigned to this organization in the NPPES registry on March 23, 2007.

Where is Southern Gardens, LLC located?

Southern Gardens, LLC is located at 255 E Main St, Lake Alfred, FL 33850. The listed phone number is (863) 956-0411.

What is Southern Gardens, 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 Southern Gardens, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.