STILL WATERS OF LAKE CITY, INC. – Assisted Living Facility, NPI 1104160027

STILL WATERS OF LAKE CITY, INC. is a healthcare provider. based in Lake city, Florida. specializing in Assisted Living Facility. The organization holds a License No. AL9472 (FL). The NPI Number for STILL WATERS OF LAKE CITY, INC. is 1104160027

Main info

Organization
Name
STILL WATERS OF LAKE CITY, INC.
NPI
1104160027
Phone
(386) 755-6560
Address
507 NW HALL OF FAME DR
Authorized Official
THREASA HYSELL EXECUTIVE DIRECTOR R.N.
Enumeration Date
15 November 2012
Last Update Date
15 November 2012
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for STILL WATERS OF LAKE CITY, INC.

  • 507 NW HALL OF FAME DR

    LAKE CITY, FL 320554835

    Phone: (386) 755-6560

    Fax: (386) 628-5018

    Mailing address matches the actual address.

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

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

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Medicare Utilization (FFS)

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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 32055)

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Frequently asked questions

Is STILL WATERS OF LAKE CITY, INC. listed with a National Provider Identifier?
Yes — STILL WATERS OF LAKE CITY, INC. has NPI 1104160027 on file in the registry.
Would STILL WATERS OF LAKE CITY, INC. appear as active to a payer?
You can treat STILL WATERS OF LAKE CITY, INC. as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with STILL WATERS OF LAKE CITY, INC.?
STILL WATERS OF LAKE CITY, INC.'s record emphasizes Assisted Living Facility. Clinical services aligned with this taxonomy classification.
Is STILL WATERS OF LAKE CITY, INC. located near Lake City?
STILL WATERS OF LAKE CITY, INC. currently maps to Lake City, Florida in this extract.
When was this NPI issued?
Enumeration for STILL WATERS OF LAKE CITY, INC. is noted as November 15, 2012 where the registry provides it.

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