VISTA LAKE MC LLC
NPI 1609591197
Assisted Living Facility in Leesburg, FL

Q: What is Vista Lake Mc LLC's NPI number?

The NPI number for Vista Lake Mc LLC is 1609591197. It was assigned to this organization in the NPPES registry on October 6, 2022. The provider is doing business as Vista Lake Memory Care.

Q: What is Vista Lake Mc LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Vista Lake Mc LLC was last updated on October 6, 2022. 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.

Active since October 06, 2022

710 S LAKE ST, LEESBURG, FL 34748(352) 728-6661 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Vista Lake Mc Llc NPPES

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

VISTA LAKE MC LLC (NPI 1609591197), doing business as Vista Lake Memory Care, is a healthcare organization registered as an assisted living facility in Leesburg, Florida and active in the NPI registry since October 2022. The organization lists Shlomo Greenstein, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1609591197

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameVISTA LAKE MC LLC

Location Address710 S LAKE STLeesburg, FL 34748-7327

Mailing Address3012 Avenue J Fl 2Brooklyn, NY 11210-3838 · (727) 697-9920

Phone(352) 728-6661

Organization SubpartNo

Authorized OfficialShlomo GreensteinManaging Director · (727) 697-9920

Enumeration DateOctober 6, 2022

NPPES CertifiedOctober 6, 2022

✔ NPI 1609591197 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.

710 S LAKE ST, Leesburg, FL 34748

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Other Names 1

Doing Business AsVista Lake Memory Care

Other Providers at the Same Location NPPES

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

AMERICAN EAGLE LEESBURG MC LLC

Alzheimer Center (Dementia Center)

710 S LAKE ST
LEESBURG, FL 34748

Lake County (734) 418-9027

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 Vista Lake Mc LLC's NPI number?

The NPI number for Vista Lake Mc LLC is 1609591197. It was assigned to this organization in the NPPES registry on October 6, 2022. The provider is doing business as Vista Lake Memory Care.

Where is Vista Lake Mc LLC located?

Vista Lake Mc LLC is located at 710 S Lake St, Leesburg, FL 34748. The listed phone number is (352) 728-6661.

What is Vista Lake Mc 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 Vista Lake Mc LLC was last updated on October 6, 2022. 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.