SAVANNAH COTTAGE OF LAKELAND
NPI 1841709847
Assisted Living Facility in Lakeland, FL

Active since September 22, 2017CLIA 10D2265719 · Waiver
605 CARPENTERS WAY, LAKELAND, FL 33809(863) 815-9411(863) 858-9476 Get Directions Write a Review

NPPES record last updated: September 22, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Savannah Cottage Of Lakeland NPPES

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

SAVANNAH COTTAGE OF LAKELAND (NPI 1841709847) is a healthcare organization registered as an assisted living facility in Lakeland, Florida and active in the NPI registry since September 2017. The organization holds a CLIA Waiver certificate valid through July 31, 2026 and lists Uri Rubin, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1841709847
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSENIOR LIVING PROPERTIES IV, LLC
Location Address605 CARPENTERS WAYLakeland, FL 33809-3919
Mailing Address4611 Johnson Rd Unit 1Coconut Creek, FL 33073-4361
Fax(863) 858-9476
Organization SubpartNo
Authorized OfficialUri RubinManaging Partner · (954) 691-1030
Enumeration DateSeptember 22, 2017
NPI 1841709847 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.

605 CARPENTERS WAY, Lakeland, FL 33809

Other Names 1

Doing Business AsSavannah Cottage Of Lakeland

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 10D2265719

Senior Living Properties IV, LLC · Lakeland, FL
Active · expires Jul 31, 2026
CLIA Number10D2265719
Laboratory TypeAssisted Living Facility
Certificate Effective DateAugust 1, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorKhadajia N. Choyce
Laboratory Phone(863) 815-9411
Laboratory LocationSenior Living Properties IV, LLC605 Carpenters Way, Lakeland, FL 33809
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Assisted Living Facility
605 CARPENTERS WAY
LAKELAND, FL 33809

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 Senior Living Properties IV, LLC's NPI number?

The NPI number for Senior Living Properties IV, LLC is 1841709847. It was assigned to this organization in the NPPES registry on September 22, 2017. The provider is doing business as Savannah Cottage Of Lakeland.

Where is Senior Living Properties IV, LLC located?

Senior Living Properties IV, LLC is located at 605 Carpenters Way, Lakeland, FL 33809. The listed phone number is (863) 815-9411.

What is Senior Living Properties IV, LLC's specialty?

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

Does Senior Living Properties IV, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2265719) is associated with this NPI, valid through July 31, 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 Senior Living Properties IV, LLC was last updated on September 22, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.