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LAKELAND MANOR ALF
NPI 1407398597
Assisted Living Facility in Lakeland, FL

Active since November 07, 2016CLIA 10D2216669 · Waiver
747 BON AIR ST, LAKELAND, FL 33805(863) 688-1196(863) 687-7707 Get Directions Write a Review

NPPES record last updated: November 7, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lakeland Manor Alf NPPES

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

LAKELAND MANOR ALF (NPI 1407398597) is a healthcare organization registered as an assisted living facility in Lakeland, Florida and active in the NPI registry since November 2016. The organization holds a CLIA Waiver certificate valid through March 14, 2027 and lists Rajan Amin, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1407398597
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLAKELAND ALF MANAGEMENT, LLC
Location Address747 BON AIR STLakeland, FL 33805-4631
Mailing Address747 Bon Air StLakeland, FL 33805-4631
Phone(863) 688-1196
Fax(863) 687-7707
Organization SubpartNo
Authorized OfficialRajan AminDirector Of Operations · (330) 541-3483
Enumeration DateNovember 7, 2016
✔ NPI 1407398597 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.
747 BON AIR ST, Lakeland, FL 33805
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Other Names 1

Doing Business AsLakeland Manor Alf

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2216669

Lakeland Manor Alf · Lakeland, FL
Active · expires Mar 14, 2027
CLIA Number10D2216669
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 15, 2025
Certificate Expiration DateMarch 14, 2027
Laboratory DirectorSangeeta S. Raut
Laboratory Phone(863) 583-4889
Laboratory LocationLakeland Manor Alf747 Bon Air Street, Lakeland, FL 33805
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

TENDER LOVING CARE RETIREMENT RESIDENCE BSLC LLC
Assisted Living Facility
747 BON AIR ST
LAKELAND, FL 33805
Polk County (863) 688-1196
PERPETUAL CARE & SENIOR LIVING SERVICES INC.
Assisted Living Facility
747 BON AIR ST
LAKELAND, FL 33805
Polk County (863) 688-1196
LOREAL LLC
Assisted Living Facility
747 BON AIR ST
LAKELAND, FL 33805
Polk County (863) 688-1196

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 Lakeland Alf Management, LLC's NPI number?

The NPI number for Lakeland Alf Management, LLC is 1407398597. It was assigned to this organization in the NPPES registry on November 7, 2016. The provider is doing business as Lakeland Manor Alf.

Where is Lakeland Alf Management, LLC located?

Lakeland Alf Management, LLC is located at 747 Bon Air St, Lakeland, FL 33805. The listed phone number is (863) 688-1196.

What is Lakeland Alf Management, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Lakeland Alf Management, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2216669) is associated with this NPI, valid through March 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lakeland Alf Management, LLC was last updated on November 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.