HIGHLANDS LAKE CENTER (HIGHLANDS LAKE CENTER, LLC) NPI 1366430399

Skilled Nursing Facility in Lakeland, FL

NPI 1366430399 Organization Skilled Nursing Facility CLIA Number 10D0292782 CLIA Certificate of Waiver Overall Rating

About HIGHLANDS LAKE CENTER (HIGHLANDS LAKE CENTER, LLC)

Highlands Lake Center (highlands Lake Center, Llc) is a provider established in Lakeland, Florida specializing in skilled nursing facility. The NPI number of Highlands Lake Center (highlands Lake Center, Llc) is 1366430399 and was assigned on October 2005. The practitioner's primary taxonomy code is 314000000X with license number SNF1345096 (FL). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Highlands Lake Center. The authorized official of this NPI record is Mrs. Jennifer Alise Ziolkowski Mba (Vp Finance)

According to the Nursing Home Compare program data, Highlands Lake Center has an average overall quality rating based on the provider's performance on three separate measures including: health inspections, staffing, and quality of resident care information. These quality measures, combined in a star rating of 3 out of 5 stars provide a snapshot of this nursing home quality.

The CLIA number of Highlands Lake Center is 10D0292782 registered as a "skilled nursing/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Highlands Lake 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

1366430399

Provider NameHIGHLANDS LAKE CENTER (HIGHLANDS LAKE CENTER, LLC)
Provider Location Address4240 LAKELAND HIGHLANDS RD LAKELAND, FL 33813
Provider Mailing Address4240 LAKELAND HIGHLANDS RD LAKELAND, FL 33813
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameHIGHLANDS LAKE CENTER
Other Name TypeDoing Business As (3)
Enumeration Date10-13-2005
Last Update Date02-13-2013


Primary Taxonomy

Taxonomy Code314000000X
ClassificationSkilled Nursing Facility
TypeNursing & Custodial Care Facilities
License No.SNF1345096
License StateFL
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.

Business Address

HIGHLANDS LAKE CENTER
4240 LAKELAND HIGHLANDS RD
LAKELAND, FL
ZIP 33813
Phone: (863) 646-8699
Fax: (863) 644-3475

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Mailing Address

HIGHLANDS LAKE CENTER
4240 LAKELAND HIGHLANDS RD
LAKELAND, FL
ZIP 33813
Phone: (863) 646-8699
Fax: (863) 644-3475



Authorized Official

Authorized Official NameMRS. JENNIFER ALISE ZIOLKOWSKI MBA
Authorized Official TitleVP FINANCE
Authorized Official Phone(813) 558-6629

Nursing Home Compare Information

The Centers for Medicare and Medicaid Services publishes the Nursing Home Compare star rating data to provide consumers an easy way to compare nursing home's quality of care.

Overall Quality Rating Overall Quality Rating
The overall star rating is based on a nursing homes's performance on health inspections, staffing and quality measures.
- 3 out of 5 stars - Average
Health Inspection Rating Health Inspection Rating
The health inspection star rating is based on a nursing home’s weighted score from the most recent health inspections.
- 3 out of 5 stars - Average
Quality Measures Rating Quality Measures Rating
The quality measures star rating is based on data from a select set of clinical measures.
- 3 out of 5 stars - Average
Long-Stay Quality Measures Rating Long-Stay Quality Measures Rating
The long-stay quality of care rating is based on the quality of care delivered to long-term residents only.
- 3 out of 5 stars - Average
Short-Stay Quality Measures Rating Short-Stay Quality Measures Rating
The short-stay quality of care rating is based on the quality of care delivered to temporary residents only.
- 4 out of 5 stars - Above Average
Staffing Rating Staffing Rating
The staffing rating is based on the star rating based on the nursing home’s staffing hours for Registered Nurses (RNs), Licensed Practice Nurses (LPNs), Licensed Vocational Nurses (LVNs) and Nurse aides.
- 3 out of 5 stars - Average
Nurse Staffing Hours4 hours per resident per day
RN Staffing Rating RN Staffing Rating
The RN staffing rating is based on the star rating based on the nursing home’s staffing hours for Registered Nurses (RNs).
- 3 out of 5 stars - Average
RN Staffing Hours0.69 hours per resident per day
Ownership TypeFor profit - Corporation
Number of Certified Beds179 beds
Average Number of Residents per Day101 residents
Automatic Sprinkler Systems in Required AreasYes
Facility Reported Incidents0 incidents
Substantiated Complaints2 complaints
Number of Fines1 fines
Amount of Fines$27810.00

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 the NPI number 1366430399 is:

CLIA Number10D0292782
Facility TypeSKILLED NURSING/NURSING FACILITY
Certificate TypeCertificate of Waiver

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
0004438182OTHER (01)FL
C105620OTHER (01)FL
71-05624OTHER (01)FL
========= 33813 0000OTHER (01)FL
026057600MEDICAID (05)FL
K3EOTHER (01)FL
105620MEDICARE OSCAR/CERTIFICATION (06)FL

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1467566992DR. DONNA CHERYL GELLMAN-RODRIGUEZ PSY.D.
Individual
Psychologist (Clinical)4240 LAKELAND HIGHLANDS RD
LAKELAND, FL 33813
(863) 398-5813
1366523078DR. MARK T. SINZ PSYD
Individual
Psychologist (Clinical)4240 LAKELAND HIGHLANDS RD
LAKELAND, FL 33813
(800) 257-8715
1194844811MS. ALICE ANNETTE HYLTON OTR L
Individual
Occupational Therapist4240 LAKELAND HIGHLANDS RD
LAKELAND, FL 33813
(863) 607-5940
1285753053 ERIC MICHAEL SNOWBALL OTRL
Individual
Occupational Therapist4240 LAKELAND HIGHLANDS RD
LAKELAND, FL 33813
(863) 607-5940
1487870820DR. TANDRIA MILAGNO CALLINS PH.D., CCC-SLP
Individual
Speech-Language Pathologist4240 LAKELAND HIGHLANDS RD
LAKELAND, FL 33813
(863) 607-5946
1447477104MS. LINDSEY BREANNE HERMAN COTA L
Individual
Occupational Therapy Assistant4240 LAKELAND HIGHLANDS RD
LAKELAND, FL 33813
(863) 607-5948
1003024456MRS. DONNA LOUISE WORLEY PTA
Individual
Nursing Facility/Intermediate Care Facility4240 LAKELAND HIGHLANDS RD
LAKELAND, FL 33813
(863) 607-5948
1669681672MS. SHARON ELSA WETMORE PTA
Individual
Skilled Nursing Facility4240 LAKELAND HIGHLANDS RD
LAKELAND, FL 33813
(863) 607-5948
1811108400 SHARLIE ANN PELLETIER COTA
Individual
Occupational Therapy Assistant4240 LAKELAND HIGHLANDS RD
LAKELAND, FL 33813
(863) 646-8699
1427290121 JANIS BROWN PTA
Individual
Physical Therapy Assistant4240 LAKELAND HIGHLANDS RD
LAKELAND, FL 33813
(863) 607-5940
1760610877MR. JOE MICHEAL LOWRY COTA/L
Individual
Occupational Therapist (Gerontology)4240 LAKELAND HIGHLANDS RD
LAKELAND, FL 33813
(863) 607-5841
1316175425MRS. CHRISTA MARIA JANSEN VAN VUUREN OTR/L
Individual
Occupational Therapist (Gerontology)4240 LAKELAND HIGHLANDS RD
LAKELAND, FL 33813
(863) 607-5939
1912135088 KIMBERLY NICOLE HAMM COTA/L
Individual
Occupational Therapy Assistant4240 LAKELAND HIGHLANDS RD
LAKELAND, FL 33813
(863) 607-5948
1659504280 KIMBERLY OCHS MS-CCC-SLP
Individual
Speech-Language Pathologist4240 LAKELAND HIGHLANDS RD
LAKELAND, FL 33813
(860) 607-5948
1427281062MS. MADELINE A MAGRINA SLP
Individual
Speech-Language Pathologist4240 LAKELAND HIGHLANDS RD
LAKELAND, FL 33813
(863) 607-5948
1265665897 JOHANNA LEA BRANCH PTA
Individual
Physical Therapy Assistant4240 LAKELAND HIGHLANDS RD
LAKELAND, FL 33813
(863) 607-5948
1568790475 JESSICA AMANDA BARRETT PTA
Individual
Physical Therapy Assistant4240 LAKELAND HIGHLANDS RD
LAKELAND, FL 33813
(863) 607-5948
1720316649MS. ALLISON MACKENZIE TOTH OTR/L
Individual
Occupational Therapist (Gerontology)4240 LAKELAND HIGHLANDS RD
LAKELAND, FL 33813
(863) 607-5948
1821307299 APRIL DARA EMONG LEANO COTA/L
Individual
Occupational Therapy Assistant4240 LAKELAND HIGHLANDS RD
LAKELAND, FL 33813
(863) 607-5948
1982832051 AMY ELIZABETH WALKER SLP
Individual
Speech-Language Pathologist4240 LAKELAND HIGHLANDS RD
LAKELAND, FL 33813
(863) 607-5948

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.