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BALMORAL ASSISTED LIVING
NPI 1750800959
Assisted Living Facility in Lake Placid, FL

Active since September 19, 2017CLIA 10D2076982 · Waiver
93 BALMORAL DR, LAKE PLACID, FL 33852(863) 576-5561 Get Directions Write a Review

NPPES record last updated: September 19, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Balmoral Assisted Living NPPES

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

BALMORAL ASSISTED LIVING (NPI 1750800959) is a healthcare organization registered as an assisted living facility in Lake Placid, Florida and active in the NPI registry since September 2017. The organization holds a CLIA Waiver certificate valid through January 28, 2027 and lists Danny Prosky, President, as its authorized official.

NPPES Registry Identity

NPI1750800959
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGAHC4 BALMORAL FL TRS SUB, LLC
Location Address93 BALMORAL DRLake Placid, FL 33852-7000
Mailing Address18191 Von Karman Ave Ste 300Irvine, CA 92612-7106 · (949) 270-9200
Phone(863) 576-5561
Organization SubpartNo
Authorized OfficialDanny ProskyPresident · (949) 270-9200
Enumeration DateSeptember 19, 2017
✔ NPI 1750800959 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.
93 BALMORAL DR, Lake Placid, FL 33852
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Other Names 1

Doing Business AsBalmoral Assisted Living

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2076982

Gahc4 Balmoral Fl Trs Sub LLC · Lake Placid, FL
Active · expires Jan 28, 2027
CLIA Number10D2076982
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 29, 2025
Certificate Expiration DateJanuary 28, 2027
Laboratory DirectorKaren Smith
Laboratory Phone(863) 465-6584
Laboratory LocationGahc4 Balmoral Fl Trs Sub LLC93 Balmoral Dr, Lake Placid, FL 33852
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

BALMORAL SENIOR LIVING LLC
Assisted Living Facility
93 BALMORAL DR
LAKE PLACID, FL 33852
Highlands County (863) 465-6584
LEGACY HEALTHCARE SERVICES INC
Physical Therapist
93 BALMORAL DR
LAKE PLACID, FL 33852
Highlands County (863) 840-9496
BALMORAL ASSISTED LIVING, LLC
Assisted Living Facility
93 BALMORAL DR
LAKE PLACID, FL 33852
Highlands County (863) 465-6584

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 Gahc4 Balmoral Fl Trs Sub, LLC's NPI number?

The NPI number for Gahc4 Balmoral Fl Trs Sub, LLC is 1750800959. It was assigned to this organization in the NPPES registry on September 19, 2017. The provider is doing business as Balmoral Assisted Living.

Where is Gahc4 Balmoral Fl Trs Sub, LLC located?

Gahc4 Balmoral Fl Trs Sub, LLC is located at 93 Balmoral Dr, Lake Placid, FL 33852. The listed phone number is (863) 576-5561.

What is Gahc4 Balmoral Fl Trs Sub, LLC's specialty?

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

Does Gahc4 Balmoral Fl Trs Sub, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2076982) is associated with this NPI, valid through January 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gahc4 Balmoral Fl Trs Sub, LLC was last updated on September 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.