Club at Lake Gibson LLC
NPI 1407684582 · Skilled Nursing Facility · Lakeland, FL
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Club at Lake Gibson LLC is a Skilled Nursing Facility organization in Lakeland, FL (NPI 1407684582).
Provider details
- NPI number
- 1407684582
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Aharon Katz, Authorized Member(917) 757-2121
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
1 yr 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
- 2024-07-22
- Last updated
- 2024-07-22
- Certified
- 2024-07-22
Frequently asked questions
- What is Club at Lake Gibson LLC's NPI number?
- Club at Lake Gibson LLC's National Provider Identifier (NPI) is 1407684582, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Club at Lake Gibson LLC?
- Club at Lake Gibson LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Club at Lake Gibson LLC located?
- Club at Lake Gibson LLC's practice location on file with NPPES is 855 Carpenters Way, Lakeland, FL 33809-4157.
- What is Club at Lake Gibson LLC's phone number?
- The practice phone number listed in the NPPES registry for Club at Lake Gibson LLC is (863) 213-3335.
- Does Club at Lake Gibson LLC accept Medicare?
- Club at Lake Gibson 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 Club at Lake Gibson LLC?
- The authorized official listed on Club at Lake Gibson LLC's NPPES record is Aharon Katz, Authorized Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Club at Lake Gibson LLC's NPI active?
- Yes — Club at Lake Gibson LLC's NPI (1407684582) is active in the NPPES registry as of the last update on 2024-07-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.