Baldomero Lopez State Veterans Nursing Home – Alzheimer Center (Dementia Center), NPI 1316939804

Baldomero Lopez State Veterans Nursing Home is a healthcare provider. based in Land o lakes, Florida. specializing in Alzheimer Center (Dementia Center). The NPI Number for Baldomero Lopez State Veterans Nursing Home is 1316939804

Main info

Organization
Name
Baldomero Lopez State Veterans Nursing Home
NPI
1316939804
Phone
(813) 558-5000
Address
6919 PARKWAY BLVD
Authorized Official
MR. WILLIAM G PUCKETT PROGRAM DIRECTOR
Enumeration Date
19 August 2005
Last Update Date
22 January 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness90
Years active:20State licenses:0Digital endpoints

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Provider Addresses for Baldomero Lopez State Veterans Nursing Home

  • 6919, Parkway Boulevard, Land O' Lakes, Pasco County, Florida, 34639, United States

    LAND O LAKES, FL 346392909

    Phone: (813) 558-5000

    Fax: (813) 558-5021

    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.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-03-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20120326000647OSkilled Nursing FacilityFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 34639)

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Reviews

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Frequently asked questions

How do payers reference Baldomero Lopez State Veterans Nursing Home?
For Baldomero Lopez State Veterans Nursing Home, use NPI 1316939804 as the unique 10-digit identifier.
Active or inactive — what applies to Baldomero Lopez State Veterans Nursing Home?
You should see Baldomero Lopez State Veterans Nursing Home as active in CMS-hosted NPPES data.
What expertise is attributed to Baldomero Lopez State Veterans Nursing Home?
Baldomero Lopez State Veterans Nursing Home's specialty line reads Alzheimer Center (Dementia Center). Clinical services aligned with this taxonomy classification.
Is Baldomero Lopez State Veterans Nursing Home located near Land O Lakes?
Baldomero Lopez State Veterans Nursing Home currently maps to Land O Lakes, Florida in this extract.
Does Baldomero Lopez State Veterans Nursing Home accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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