Still Waters of Lake City, Inc.
NPI 1104160027 · Assisted Living Facility · Lake City, FL
Still Waters of Lake City, Inc. is a Assisted Living Facility organization in Lake City, FL (NPI 1104160027).
Provider details
- NPI number
- 1104160027
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Threasa Hysell, Executive Director(386) 755-6560
- License
- AL9472 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Respite Care Facility
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
- 2012-11-15
- Last updated
- 2012-11-15
Frequently asked questions
- What is Still Waters of Lake City, Inc.'s NPI number?
- Still Waters of Lake City, Inc.'s National Provider Identifier (NPI) is 1104160027, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Still Waters of Lake City, Inc.?
- Still Waters of Lake City, Inc. is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Still Waters of Lake City, Inc. located?
- Still Waters of Lake City, Inc.'s practice location on file with NPPES is 507 Nw Hall of Fame Dr, Lake City, FL 32055-4835.
- What is Still Waters of Lake City, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Still Waters of Lake City, Inc. is (386) 755-6560.
- Who is the authorized official for Still Waters of Lake City, Inc.?
- The authorized official listed on Still Waters of Lake City, Inc.'s NPPES record is Threasa Hysell, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Still Waters of Lake City, Inc.'s NPI active?
- Yes — Still Waters of Lake City, Inc.'s NPI (1104160027) is active in the NPPES registry as of the last update on 2012-11-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.