Lake Wales Slc Opco LLC
NPI 1396482329 · Assisted Living Facility · Lake Wales, FL
Lake Wales Slc Opco LLC is a Assisted Living Facility organization in Lake Wales, FL (NPI 1396482329).
Provider details
- NPI number
- 1396482329
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Pilar Carvajal, Ceo(305) 428-2480
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
4 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
Other names (DBA / former)
- Doing business as
- The Club at Lakes Wales
- Doing business as
- The Club at Lakes Wales
Registry dates
- Enumerated
- 2022-05-20
- Last updated
- 2023-02-27
- Certified
- 2023-02-27
Frequently asked questions
- What is Lake Wales Slc Opco LLC's NPI number?
- Lake Wales Slc Opco LLC's National Provider Identifier (NPI) is 1396482329, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Wales Slc Opco LLC?
- Lake Wales Slc Opco LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Lake Wales Slc Opco LLC located?
- Lake Wales Slc Opco LLC's practice location on file with NPPES is 12 E Grove Ave, Lake Wales, FL 33853-4760.
- What is Lake Wales Slc Opco LLC's phone number?
- The practice phone number listed in the NPPES registry for Lake Wales Slc Opco LLC is (863) 679-8146.
- Who is the authorized official for Lake Wales Slc Opco LLC?
- The authorized official listed on Lake Wales Slc Opco LLC's NPPES record is Pilar Carvajal, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Wales Slc Opco LLC's NPI active?
- Yes — Lake Wales Slc Opco LLC's NPI (1396482329) is active in the NPPES registry as of the last update on 2023-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.