Vi at Lakeside Village – Skilled Nursing Facility, NPI 1568423234

Vi at Lakeside Village is a healthcare provider. based in Lantana, Florida. specializing in Skilled Nursing Facility. The organization holds a License No. SNF130470976 (FL). The NPI Number for Vi at Lakeside Village is 1568423234

Main info

Organization
Name
Vi at Lakeside Village
NPI
1568423234
Phone
(561) 966-4600
Address
2792 DONNELLY DR
Authorized Official
TOMEK J KOSZYLKO COUNSEL
Enumeration Date
31 March 2006
Last Update Date
24 October 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness90
Years active:20State licenses:1Digital endpoints

Provider Addresses for Vi at Lakeside Village

  • 2792 DONNELLY DR

    LANTANA, FL 334626431

    Phone: (561) 966-4600

    Fax: (561) 434-5344

    Type: Mailing

  • 2782 DONNELLY DR

    LANTANA, FL 334622515

    Phone: (561) 966-4600

    Fax: (561) 434-5344

    Type: Location

  • 233 S WACKER DR STE 8400

    CHICAGO, IL 606066316

    Phone: (312) 803-8800

    Type: Mailing

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: 2010-11-01

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
O20101101000698OSkilled 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 33462)

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Reviews

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Frequently asked questions

Is there an official ID for Vi at Lakeside Village in U.S. healthcare records?
The official identifier for Vi at Lakeside Village is NPI 1568423234.
Is Vi at Lakeside Village still an active registrant?
Vi at Lakeside Village carries an active NPI according to the public dataset.
What kind of doctor is Vi at Lakeside Village?
Vi at Lakeside Village is associated with Skilled Nursing Facility in the directory — Clinical services aligned with this taxonomy classification.
Is Vi at Lakeside Village located near Lantana?
Vi at Lakeside Village currently maps to Lantana, Florida in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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