LAKEVIEW HEALTH SYSTEMS, LLC – NPI #1760548184
Substance Abuse Rehabilitation Facility

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.

LAKEVIEW HEALTH SYSTEMS, LLC is a substance abuse rehabilitation facility located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1760548184 to LAKEVIEW HEALTH SYSTEMS, LLC on December 29, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 3 years ago on Apr 19, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAKEVIEW HEALTH SYSTEMS, LLC below.

NPI Profile for
LAKEVIEW HEALTH SYSTEMS, LLC

NPI Number
1760548184
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LAKEVIEW HEALTH SYSTEMS, LLC
Primary location
1900 CORPORATE SQUARE CT.
JACKSONVILLE, FL 32216
Phone: (904) 727-6455 Fax: (904) 899-4514
Mailing address
1900 CORPORATE SQUARE BLVD
JACKSONVILLE, FL 32216-1941
Phone: (904) 513-5830 Fax: (866) 371-2833
Organization Subpart
No
Authorized Official
DONNA MOEN
CHIEF COMPLIANCE OFFICER
Phone: (843) 687-4329
Updated
Certification Date
Apr 19, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for LAKEVIEW HEALTH SYSTEMS, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherAHCA - RESIDENTIAL TREATMENT FACILITY LEVEL II EATING DISORDER TREATMENTFL8757
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
FL 0416AD076701
320800000X
- Community Based Residential Treatment Facility, Mental Illness

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.