LUBIS ENTERPRISE LLC
NPI 1467074484
Assisted Living Facility in Leesburg, FL

Active since May 13, 2020
1215 LA SALIDA WAY, LEESBURG, FL 34748(352) 787-3034 Get Directions Write a Review

NPPES record last updated: May 13, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lubis Enterprise Llc NPPES

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

LUBIS ENTERPRISE LLC (NPI 1467074484) is a healthcare organization registered as an assisted living facility in Leesburg, Florida and active in the NPI registry since May 2020. The organization lists Deviano Lubis, Owner, as its authorized official.

NPPES Registry Identity

NPI1467074484
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLUBIS ENTERPRISE LLC
Location Address1215 LA SALIDA WAYLeesburg, FL 34748-8272
Mailing Address1215 La Salida WayLeesburg, FL 34748-8272
Organization SubpartNo
Authorized OfficialDeviano LubisOwner · (352) 787-3034
Enumeration DateMay 13, 2020
NPPES CertifiedMay 13, 2020
NPI 1467074484 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.

1215 LA SALIDA WAY, Leesburg, FL 34748

Other Identifiers 1

Medicaid105721800FL

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
1215 LA SALIDA WAY
LEESBURG, FL 34748

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467074484, enumerated as an "organization" on May 13, 2020.

The provider is located at 1215 LA SALIDA WAY LEESBURG, FL 34748 and the phone number is (352) 787-3034.

Assisted Living Facility with taxonomy code 310400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.