OrganizationActive
Pcp Lady Lake Opco LLC
NPI 1164391082 · Assisted Living Facility · Lady Lake, FL
Pcp Lady Lake Opco LLC is a Assisted Living Facility organization in Lady Lake, FL (NPI 1164391082).
Provider details
- NPI number
- 1164391082
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Seth Walker, Cfo(850) 583-7990
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
955 S US Highway 441
Lady Lake, FL 32159
Phone: (352) 268-3523
Street-level locationGet directions
Mailing address
2573 Barrington Cir
Tallahassee, FL 32308-6805
Other names (DBA / former)
- Doing business as
- Village Veranda at Lady Lake
Registry dates
- Enumerated
- 2025-10-30
- Last updated
- 2025-10-30
- Certified
- 2025-10-14
Frequently asked questions
- What is Pcp Lady Lake Opco LLC's NPI number?
- Pcp Lady Lake Opco LLC's National Provider Identifier (NPI) is 1164391082, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pcp Lady Lake Opco LLC?
- Pcp Lady Lake Opco LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Pcp Lady Lake Opco LLC located?
- Pcp Lady Lake Opco LLC's practice location on file with NPPES is 955 S US Highway 441, Lady Lake, FL 32159.
- What is Pcp Lady Lake Opco LLC's phone number?
- The practice phone number listed in the NPPES registry for Pcp Lady Lake Opco LLC is (352) 268-3523.
- Who is the authorized official for Pcp Lady Lake Opco LLC?
- The authorized official listed on Pcp Lady Lake Opco LLC's NPPES record is Seth Walker, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pcp Lady Lake Opco LLC's NPI active?
- Yes — Pcp Lady Lake Opco LLC's NPI (1164391082) is active in the NPPES registry as of the last update on 2025-10-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.