LAKESIDE NURSING & REHABILITATION CENTER
NPI 1336104975
Skilled Nursing Facility in Jacksonville, FL

NPI Status: Active since April 18, 2006

Contact Information

11411 ARMSDALE RD
JACKSONVILLE, FL
ZIP 32218
Phone: (904) 714-3793
Fax: (904) 714-3799

NPI Profile Information
Primary Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Skilled Nursing Facility
CLIA Number: 10D2262667
CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
CLIA Exp. Date: 06-15-2026

About LAKESIDE NURSING & REHABILITATION CENTER

This page provides the complete NPI Profile along with additional information for Lakeside Nursing & Rehabilitation Center, a provider established in Jacksonville, Florida operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1336104975 assigned on April 2006. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Lakeside Nursing & Rehabilitation Center. The authorized official of this NPI record is Lanelle Nathey Mcdonald (Business Office Manager)

NPI: 1336104975
Provider Legal Name: FIVE POINTS HEALTHCARE LTD.
Other Organization Name: LAKESIDE NURSING & REHABILITATION CENTER
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 11411 ARMSDALE RD JACKSONVILLE, FL 32218
Location Phone: (904) 714-3793
Location Fax: (904) 714-3799
Mailing Address: 11411 ARMSDALE RD JACKSONVILLE, FL 32218
Mailing Phone: (904) 714-3793
Mailing Fax: (904) 714-3799
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 04-18-2006
Last Update Date: 08-22-2020
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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
License State: FL
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: LANELLE NATHEY MCDONALD
Authorized Official Title: BUSINESS OFFICE MANAGER
Authorized Official Phone: (904) 714-3793

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 10D2262667
Facility Type: Skilled Nursing Facility/Nursing Facility
Certificate Effective Date: June 16, 2024
Certificate Expiration Date: June 15, 2026
Laboratory Director: CLAUDE SIMMONS
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Lakeside Nursing & Rehabilitation Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1336104975, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 6

Pos 4

Unchanged

Pos 5

Doubled → 2

Pos 6

Unchanged

Pos 7

Doubled → 8

Pos 8

Unchanged

Pos 9

Doubled → 14 → 1 + 4

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 1 → 2 4 → 8 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 6 + 6 + 2 + 0 + 8 + 9 + 1 + 4 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5

This NPI is valid

The calculated check digit is 5, which matches the last digit of 1336104975.