Lake City Nursing and Rehabilitation Center, LLC
NPI 1053420729 · Skilled Nursing Facility · Lake City, GA
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lake City Nursing and Rehabilitation Center, LLC is a Skilled Nursing Facility organization in Lake City, GA (NPI 1053420729).
Provider details
- NPI number
- 1053420729
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Norbert Bennett, Co-Ceo(716) 662-4955
- License
- 10311849 (GA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-29
- Last updated
- 2023-12-08
- Certified
- 2023-12-08
Frequently asked questions
- What is Lake City Nursing and Rehabilitation Center, LLC's NPI number?
- Lake City Nursing and Rehabilitation Center, LLC's National Provider Identifier (NPI) is 1053420729, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake City Nursing and Rehabilitation Center, LLC?
- Lake City Nursing and Rehabilitation Center, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Lake City Nursing and Rehabilitation Center, LLC located?
- Lake City Nursing and Rehabilitation Center, LLC's practice location on file with NPPES is 2055 Rex Rd, Lake City, GA 30260-3944.
- What is Lake City Nursing and Rehabilitation Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Lake City Nursing and Rehabilitation Center, LLC is (404) 361-5114.
- Does Lake City Nursing and Rehabilitation Center, LLC accept Medicare?
- Lake City Nursing and Rehabilitation Center, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lake City Nursing and Rehabilitation Center, LLC?
- The authorized official listed on Lake City Nursing and Rehabilitation Center, LLC's NPPES record is Norbert Bennett, Co-Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake City Nursing and Rehabilitation Center, LLC's NPI active?
- Yes — Lake City Nursing and Rehabilitation Center, LLC's NPI (1053420729) is active in the NPPES registry as of the last update on 2023-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.