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LAKE HOUSE ASSISTED LIVING
NPI 1831545789
Assisted Living Facility in Largo, FL

Active since May 10, 2016CLIA 10D2198586 · Waiver
1071 LAKE AVE NE, LARGO, FL 33771(727) 581-9111(727) 781-9222 Get Directions Write a Review

NPPES record last updated: May 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake House Assisted Living NPPES

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

LAKE HOUSE ASSISTED LIVING (NPI 1831545789) is a healthcare organization registered as an assisted living facility in Largo, Florida and active in the NPI registry since May 2016. The organization holds a CLIA Waiver certificate valid through November 2, 2026 and lists Eric Moore, Vp Operations, as its authorized official.

NPPES Registry Identity

NPI1831545789
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLAKE HOUSE ASSISTED LIVING LLC
Location Address1071 LAKE AVE NELargo, FL 33771-1669
Mailing Address1071 Lake Ave NeLargo, FL 33771-1669 · (727) 581-9111 · Fax (727) 781-9222
Phone(727) 581-9111
Fax(727) 781-9222
Organization SubpartYesParent: Rosewood House Ii Inc.
Authorized OfficialEric MooreVp Operations · (727) 581-9111
Enumeration DateMay 10, 2016
✔ NPI 1831545789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in FL · AL12827
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.
1071 LAKE AVE NE, Largo, FL 33771
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Other Names 1

Doing Business AsLake House Assisted Living

Other Identifiers 1

OtherAL12827FL · Florida Agency Of Healthcare Administration

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 10D2198586

Lake House Assisted Living · Largo, FL
Active · expires Nov 2, 2026
CLIA Number10D2198586
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 3, 2024
Certificate Expiration DateNovember 2, 2026
Laboratory DirectorJessica Mcnair
Laboratory Phone(727) 581-9111
Laboratory LocationLake House Assisted Living1071 Lake Ave NE, Largo, FL 33771
CLIA data matches this NPI record on: Address Name Phone
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 Lake House Assisted Living LLC's NPI number?

The NPI number for Lake House Assisted Living LLC is 1831545789. It was assigned to this organization in the NPPES registry on May 10, 2016. The provider is doing business as Lake House Assisted Living.

Where is Lake House Assisted Living LLC located?

Lake House Assisted Living LLC is located at 1071 Lake Ave NE, Largo, FL 33771. The listed phone number is (727) 581-9111.

What is Lake House Assisted Living LLC's specialty?

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

Does Lake House Assisted Living LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2198586) is associated with this NPI, valid through November 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lake House Assisted Living LLC was last updated on May 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.