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THE CLUB AT LAKES WALES
NPI 1396482329
Assisted Living Facility in Lake Wales, FL

Active since May 20, 2022
12 E GROVE AVE, LAKE WALES, FL 33853(863) 679-8146(863) 422-0267 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 27, 2023, May 20, 2022 (2 updates tracked since 2022).

About The Club At Lakes Wales NPPES

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

THE CLUB AT LAKES WALES (NPI 1396482329) is a healthcare organization registered as an assisted living facility in Lake Wales, Florida and active in the NPI registry since May 2022. The organization lists Pilar Carvajal, Ceo, as its authorized official.

NPPES Registry Identity

NPI1396482329
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLAKE WALES SLC OPCO LLC
Location Address12 E GROVE AVELake Wales, FL 33853-4760
Mailing Address941 W Morse Blvd Ste 100Winter Park, FL 32789-3781 · (305) 428-2480 · Fax (305) 428-2480
Phone(863) 679-8146
Fax(863) 422-0267
Organization SubpartNo
Authorized OfficialPilar CarvajalCeo · (305) 428-2480
Enumeration DateMay 20, 2022
Last NPPES UpdateFebruary 27, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2023
✔ NPI 1396482329 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.
12 E GROVE AVE, Lake Wales, FL 33853
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Other Names 1

Doing Business AsThe Club At Lakes Wales

Other Providers at the Same Location NPPES 3

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

SENIOR LIVING PROPERTIES II, LLC
Assisted Living Facility
12 E GROVE AVE
LAKE WALES, FL 33853
Polk County (863) 679-8246
SGC CARE LLC
Internal Medicine
12 E GROVE AVE
LAKE WALES, FL 33853
Polk County (917) 740-3853
BREUER HEALTH OF LAKE WALES LLC
Assisted Living Facility
12 E GROVE AVE
LAKE WALES, FL 33853
Polk County (863) 679-8246

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 Lake Wales Slc Opco LLC's NPI number?

The NPI number for Lake Wales Slc Opco LLC is 1396482329. It was assigned to this organization in the NPPES registry on May 20, 2022. The provider is doing business as The Club At Lakes Wales.

Where is Lake Wales Slc Opco LLC located?

Lake Wales Slc Opco LLC is located at 12 E Grove Ave, Lake Wales, FL 33853. The listed phone number is (863) 679-8146.

What is Lake Wales Slc Opco 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 Lake Wales Slc Opco LLC was last updated on February 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.