Lake Country Nursing Center – Skilled Nursing Facility, NPI 1033110457

Lake Country Nursing Center is a healthcare provider. based in Tampa, Florida. specializing in Skilled Nursing Facility. The organization holds a License No. NH4301-4301 (OK). The NPI Number for Lake Country Nursing Center is 1033110457

Main info

Organization
Name
Lake Country Nursing Center
NPI
1033110457
Phone
(813) 341-2700
Address
1240 MARBELLA PLAZA DR.
Authorized Official
MR. ROBERT DANIEL VAUGHAN PRESIDENT
Enumeration Date
9 August 2005
Last Update Date
22 January 2010
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Lake Country Nursing Center

  • 1240 MARBELLA PLAZA DR.

    TAMPA, FL 336197905

    Phone: (813) 341-2700

    Fax: (813) 676-0127

    Type: Mailing

  • 401 C E COLSTON DR

    MARIETTA, OK 734481230

    Phone: (580) 276-3318

    Fax: (580) 276-2100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33619)

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Reviews

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Frequently asked questions

What unique ID ties claims to Lake Country Nursing Center?
NPI 1033110457 is assigned to Lake Country Nursing Center under the national enumeration system.
Does this profile mean Lake Country Nursing Center is currently active?
Yes — Lake Country Nursing Center appears active in the national provider directory.
Can you summarize Lake Country Nursing Center's specialty in plain language?
Clinically, the directory lists Lake Country Nursing Center with Skilled Nursing Facility. Clinical services aligned with this taxonomy classification.
What location shows for Lake Country Nursing Center?
We surface Tampa, Florida for Lake Country Nursing Center based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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