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LAKEVIEW HEALTH SYSTEMS, LLC
NPI 1760548184
Substance Abuse Rehabilitation Facility in Jacksonville, FL

Active since December 29, 2006CLIA 10D1068972 · Waiver
1900 CORPORATE SQUARE CT., JACKSONVILLE, FL 32216(904) 727-6455(904) 899-4514 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lakeview Health Systems, Llc NPPES

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

LAKEVIEW HEALTH SYSTEMS, LLC (NPI 1760548184) is a healthcare organization registered as a substance abuse rehabilitation facility in Jacksonville, Florida and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through May 23, 2027 and lists Donna Moen, Chief Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1760548184
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameLAKEVIEW HEALTH SYSTEMS, LLC
Location Address1900 CORPORATE SQUARE CT.Jacksonville, FL 32216
Mailing Address1900 Corporate Square BlvdJacksonville, FL 32216-1941 · (904) 513-5830 · Fax (866) 371-2833
Phone(904) 727-6455
Fax(904) 899-4514
Organization SubpartNo
Authorized OfficialDonna MoenChief Compliance Officer · (843) 687-4329
Enumeration DateDecember 29, 2006
Last NPPES UpdateApril 19, 2023
NPPES CertifiedApril 19, 2023
✔ NPI 1760548184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in FL · 0416AD076701
Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X
1900 CORPORATE SQUARE CT., Jacksonville, FL 32216
Open in Google Maps ↗

Other Identifiers 1

Other8757FL · Ahca - Residential Treatment Facility Level Ii Eating Disorder Treatment

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

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 10D1068972

Lakeview Health Systems LLC · Jacksonville, FL
Active · expires May 23, 2027
CLIA Number10D1068972
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateMay 24, 2025
Certificate Expiration DateMay 23, 2027
Laboratory DirectorKevin Holbert
Laboratory Phone(904) 227-6455
Laboratory LocationLakeview Health Systems LLC1900 Corporate Square Blvd, Jacksonville, FL 32216
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Lakeview Health Systems, LLC's NPI number?

The NPI number for Lakeview Health Systems, LLC is 1760548184. It was assigned to this organization in the NPPES registry on December 29, 2006.

Where is Lakeview Health Systems, LLC located?

Lakeview Health Systems, LLC is located at 1900 Corporate Square Ct., Jacksonville, FL 32216. The listed phone number is (904) 727-6455.

What is Lakeview Health Systems, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Lakeview Health Systems, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1068972) is associated with this NPI, valid through May 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lakeview Health Systems, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Lakeview Health Systems, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lakeview Health Systems, LLC was last updated on April 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.