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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LAKESIDE RTF LLC
NPI 1841194750
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Wauchula, FL

Active since October 05, 2026
1962 VANDOLAH RD, WAUCHULA, FL 33873(863) 773-2857 Get Directions Write a Review

NPPES record added: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Lakeside Rtf Llc NPPES

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

LAKESIDE RTF LLC (NPI 1841194750) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Wauchula, Florida and active in the NPI registry since October 2026. The organization maintains a secondary practice location in Wauchula and lists Elizabeth Choquette, Bom, as its authorized official.

NPPES Registry Identity

NPI1841194750
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameLAKESIDE RTF LLC
Location Address1962 VANDOLAH RDWauchula, FL 33873-8726
Mailing Address1962 Vandolah RdWauchula, FL 33873-8726 · (863) 773-2857
Phone(863) 773-2857
Organization SubpartYesParent: Lakeside Opco Inc
Authorized OfficialElizabeth ChoquetteBom · (863) 773-2857
Enumeration DateOctober 5, 2026
NPPES CertifiedOctober 5, 2026
✔ NPI 1841194750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Also ListedRehabilitation HospitalTaxonomy 283X00000X
Also ListedResidential Treatment Facility, Physical DisabilitiesTaxonomy 320700000X
1962 VANDOLAH RD, Wauchula, FL 33873
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Secondary Practice Location 1

Location 11044 S Florida AveWauchula, FL 33873-3412 · Phone (863) 773-2857

Other Providers at the Same Location NPPES 13

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

LAKESIDE TLF, LLC
Rehabilitation Hospital
1962 VANDOLAH RD
WAUCHULA, FL 33873
Hardee County (800) 697-5390
MISS HUNTER MARIE WILLIAMS PT
Physical Therapist
1962 VANDOLAH RD
WAUCHULA, FL 33873
Hardee County (863) 767-4409
SARAH HARVEY O.T.
Occupational Therapist
1962 VANDOLAH RD
WAUCHULA, FL 33873
Hardee County (863) 767-4411
REBECCA BLOCK CCC-SLP
Speech-Language Pathologist
1962 VANDOLAH RD
WAUCHULA, FL 33873
Hardee County (863) 767-4424
MELISSA K JOHNSTON OTRL
Occupational Therapist
1962 VANDOLAH RD
WAUCHULA, FL 33873
Hardee County (800) 697-5390
SUSAN RALSTON CCC-SLP
Speech-Language Pathologist
1962 VANDOLAH RD
WAUCHULA, FL 33873
Hardee County (863) 767-4425
LAUREN RADEN OTRL
Occupational Therapist (Neurorehabilitation)
1962 VANDOLAH RD
WAUCHULA, FL 33873
Hardee County (863) 767-4411
LAKESIDE RTC LLC
Residential Treatment Facility, Emotionally Disturbed Children
1962 VANDOLAH RD
WAUCHULA, FL 33873
Hardee County (863) 773-2857

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 Lakeside Rtf LLC's NPI number?

The NPI number for Lakeside Rtf LLC is 1841194750. It was assigned to this organization in the NPPES registry on October 5, 2026.

Where is Lakeside Rtf LLC located?

Lakeside Rtf LLC is located at 1962 Vandolah Rd, Wauchula, FL 33873. The listed phone number is (863) 773-2857.

What is Lakeside Rtf LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Lakeside Rtf LLC was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.