LUBIS ENTERPRISE LLC
NPI 1447872601
Assisted Living Facility in Lady Lake, FL

Q: What is Lubis Enterprise LLC's NPI number?

The NPI number for Lubis Enterprise LLC is 1447872601. It was assigned to this organization in the NPPES registry on May 11, 2020.

Q: What is Lubis Enterprise LLC's specialty?

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

Active since May 11, 2020

39106 GRAYS AIRPORT RD, LADY LAKE, FL 32159(352) 750-9150 Get Directions Write a Review

NPPES record last updated: May 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lubis Enterprise Llc NPPES

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

LUBIS ENTERPRISE LLC (NPI 1447872601) is a healthcare organization registered as an assisted living facility in Lady Lake, Florida and active in the NPI registry since May 2020. The organization lists Deviano Lubis, Owner, as its authorized official.

NPPES Registry Identity

NPI1447872601

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameLUBIS ENTERPRISE LLC

Location Address39106 GRAYS AIRPORT RDLady Lake, FL 32159-4004

Mailing Address39106 Grays Airport RdLady Lake, FL 32159-4004

Phone(352) 750-9150

Organization SubpartNo

Authorized OfficialDeviano LubisOwner · (352) 787-3034

Enumeration DateMay 11, 2020

NPPES CertifiedMay 11, 2020

✔ NPI 1447872601 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.

39106 GRAYS AIRPORT RD, Lady Lake, FL 32159

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Other Providers at the Same Location NPPES

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

HEIDIS HAVEN LLC

Assisted Living Facility

39106 GRAYS AIRPORT RD
LADY LAKE, FL 32159

Lake County (352) 787-3034

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 Lubis Enterprise LLC's NPI number?

The NPI number for Lubis Enterprise LLC is 1447872601. It was assigned to this organization in the NPPES registry on May 11, 2020.

Where is Lubis Enterprise LLC located?

Lubis Enterprise LLC is located at 39106 Grays Airport Rd, Lady Lake, FL 32159. The listed phone number is (352) 750-9150.

What is Lubis Enterprise 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 Lubis Enterprise LLC was last updated on May 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.