1031CF LAKE CITY MT LLC
NPI 1336903400
Assisted Living Facility in Lake City, FL

Active since February 09, 2024
213 NW GLEASON DR, LAKE CITY, FL 32055(386) 344-6985(386) 438-5272 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 1031cf Lake City Mt Llc NPPES

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

1031CF LAKE CITY MT LLC (NPI 1336903400), doing business as The Canopy At Harper Lake, is a healthcare organization registered as an assisted living facility in Lake City, Florida and active in the NPI registry since February 2024. The organization lists Edward Fernandez, Manager, as its authorized official.

NPPES Registry Identity

NPI1336903400
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business Name1031CF LAKE CITY MT LLC
Location Address213 NW GLEASON DRLake City, FL 32055-5846
Mailing Address213 Nw Gleason DrLake City, FL 32055-5846 · (386) 344-6985 · Fax (386) 438-5272
Fax(386) 438-5272
Organization SubpartNo
Authorized OfficialEdward FernandezManager · (844) 533-1031
Enumeration DateFebruary 9, 2024
NPI 1336903400 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.
213 NW GLEASON DR, Lake City, FL 32055

Other Names 1

Doing Business AsThe Canopy At Harper Lake

Other Providers at the Same Location NPPES

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

Assisted Living Facility
213 NW GLEASON DR
LAKE CITY, FL 32055

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 1031cf Lake City Mt LLC's NPI number?

The NPI number for 1031cf Lake City Mt LLC is 1336903400. It was assigned to this organization in the NPPES registry on February 9, 2024. The provider is doing business as The Canopy at Harper Lake.

Where is 1031cf Lake City Mt LLC located?

1031cf Lake City Mt LLC is located at 213 NW Gleason Dr, Lake City, FL 32055. The listed phone number is (386) 344-6985.

What is 1031cf Lake City Mt 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 1031cf Lake City Mt LLC was last updated on February 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.