AVALON HEALTHCARE CENTER
NPI 1750365706
Skilled Nursing Facility in Lake City, FL

Active since December 02, 2005
1270 SW MAIN BLVD, LAKE CITY, FL 32025(386) 752-7900(386) 752-8556 Get Directions Write a Review

NPPES record last updated: October 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Avalon Healthcare Center NPPES

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

AVALON HEALTHCARE CENTER (NPI 1750365706) is a healthcare organization registered as a skilled nursing facility in Lake City, Florida and active in the NPI registry since December 2005. The organization lists Lavern Patrick Herzog, President, as its authorized official.

NPPES Registry Identity

NPI1750365706
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLAKE CITY MGT LLC
Location Address1270 SW MAIN BLVDLake City, FL 32025-6684
Mailing Address1270 Sw Main BlvdLake City, FL 32025-6684 · (386) 752-7900 · Fax (386) 752-8556
Fax(386) 752-8556
Organization SubpartNo
Authorized OfficialLavern Patrick HerzogPresident · (386) 956-6956
Enumeration DateDecember 2, 2005
Last NPPES UpdateOctober 8, 2020
NPPES CertifiedOctober 8, 2020
NPI 1750365706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in FL · SNF15510961
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
1270 SW MAIN BLVD, Lake City, FL 32025

Other Names 1

Doing Business AsAvalon Healthcare Center

Other Identifiers 1

Medicaid026162900FL

Other Providers at the Same Location NPPES 5

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

Family Medicine
1270 SW MAIN BLVD
LAKE CITY, FL 32025
Skilled Nursing Facility
1270 SW MAIN BLVD
LAKE CITY, FL 32025
Skilled Nursing Facility
1270 SW MAIN BLVD
LAKE CITY, FL 32025
Occupational Therapist
1270 SW MAIN BLVD
LAKE CITY, FL 32025
Occupational Therapist
1270 SW MAIN BLVD
LAKE CITY, FL 32025

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 Lake City Mgt LLC's NPI number?

The NPI number for Lake City Mgt LLC is 1750365706. It was assigned to this organization in the NPPES registry on December 2, 2005. The provider is doing business as Avalon Healthcare Center.

Where is Lake City Mgt LLC located?

Lake City Mgt LLC is located at 1270 SW Main Blvd, Lake City, FL 32025. The listed phone number is (386) 752-7900.

What is Lake City Mgt LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Lake City Mgt LLC was last updated on October 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.