WYNDHAM LAKES JACKSONVILLE LLC
NPI 1952232886
Assisted Living Facility in Jacksonville, FL
About Wyndham Lakes Jacksonville Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WYNDHAM LAKES JACKSONVILLE LLC (NPI 1952232886), doing business as Wyndham Lakes Jacksonville, is a healthcare organization registered as an assisted living facility in Jacksonville, Florida and active in the NPI registry since May 2026. The organization holds a CLIA Waiver certificate valid through March 28, 2027 and lists Geoffrey Gane, Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 10D2218524
Wyndham Lakes Jacksonville · Jacksonville, FLOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSONVILLE, FL 32257
JACKSONVILLE, FL 32257
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 Wyndham Lakes Jacksonville LLC's NPI number?
The NPI number for Wyndham Lakes Jacksonville LLC is 1952232886. It was assigned to this organization in the NPPES registry on May 28, 2026. The provider is doing business as Wyndham Lakes Jacksonville.
Where is Wyndham Lakes Jacksonville LLC located?
Wyndham Lakes Jacksonville LLC is located at 10660 Old Saint Augustine Rd, Jacksonville, FL 32257. The listed phone number is (904) 875-8325.
What is Wyndham Lakes Jacksonville LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Wyndham Lakes Jacksonville LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2218524) is associated with this NPI, valid through March 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 Wyndham Lakes Jacksonville LLC was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Wyndham Lakes Jacksonville Llc · NPI 1952232886
Assisted Living Facility organization in Jacksonville, Florida. Organization record, active in the CMS NPPES registry since May 28, 2026.
## Identity
- **NPI:** 1952232886 (Entity type: Organization)
- **Enumerated:** May 28, 2026
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Also known as:** Wyndham Lakes Jacksonville (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Geoffrey Gane, FINANCIAL OFFICER
## Practice location
- **Address:** 10660 OLD SAINT AUGUSTINE RD, Jacksonville, FL 32257-1076
- **Phone:** (904) 875-8325
## Record status
- **NPPES last updated:** May 28, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1952232886) · Data from the CMS NPPES public registry.