1. Home
  2. Directory
  3. Florida
  4. Fort Pierce
  5. Assisted Living Facility
  6. NPI Profile

KAN LAKE CORPORATION INC.
NPI 1477846129
Assisted Living Facility - Assisted Living, Mental Illness in Fort Pierce, FL

Active since May 26, 2011
308 S 30TH ST, FORT PIERCE, FL 34947(772) 519-4327 Get Directions Write a Review

NPPES record last updated: May 26, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kan Lake Corporation Inc. NPPES

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

KAN LAKE CORPORATION INC. (NPI 1477846129) is a healthcare organization registered as an assisted living, mental illness in Fort Pierce, Florida and active in the NPI registry since May 2011. The organization lists Kamlawaty Lakram, Administrator, as its authorized official.

NPPES Registry Identity

NPI1477846129
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameKAN LAKE CORPORATION INC.
Location Address308 S 30TH STFort Pierce, FL 34947-7205
Mailing Address308 S 30th StFort Pierce, FL 34947-7205 · (772) 519-4327
Phone(772) 519-4327
Organization SubpartNo
Authorized OfficialKamlawaty LakramAdministrator · (772) 519-4327
Enumeration DateMay 26, 2011
✔ NPI 1477846129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
License✔ Licensed in FL · AL9025
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
308 S 30TH ST, Fort Pierce, FL 34947
Open in Google Maps ↗

Other Identifiers 1

Medicaid141943900FL

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.

HILLS CREEK INC
Assisted Living Facility (Assisted Living, Mental Illness)
308 S 30TH ST
FORT PIERCE, FL 34947
St. Lucie County (772) 519-4327
HILLS CREEK INC.
Assisted Living Facility (Assisted Living, Mental Illness)
308 S 30TH ST
FORT PIERCE, FL 34947
St. Lucie County (772) 595-5565
A BETTER CARE, LLC.
Assisted Living Facility
308 S 30TH ST
FORT PIERCE, FL 34947
St. Lucie County (772) 595-5565

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 Kan Lake Corporation Inc.'s NPI number?

The NPI number for Kan Lake Corporation Inc. is 1477846129. It was assigned to this organization in the NPPES registry on May 26, 2011.

Where is Kan Lake Corporation Inc. located?

Kan Lake Corporation Inc. is located at 308 S 30th St, Fort Pierce, FL 34947. The listed phone number is (772) 519-4327.

What is Kan Lake Corporation Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Kan Lake Corporation Inc. was last updated on May 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.