Lubis Enterprise LLC
NPI 1477175636 · Assisted Living Facility · Fruitland Park, FL
Lubis Enterprise LLC is a Assisted Living Facility organization in Fruitland Park, FL (NPI 1477175636).
Provider details
- NPI number
- 1477175636
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Deviano Lubis, Owner(352) 787-3034
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
6 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
- 2020-05-11
- Last updated
- 2020-05-11
- Certified
- 2020-05-11
Frequently asked questions
- What is Lubis Enterprise LLC's NPI number?
- Lubis Enterprise LLC's National Provider Identifier (NPI) is 1477175636, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lubis Enterprise LLC?
- Lubis Enterprise LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Lubis Enterprise LLC located?
- Lubis Enterprise LLC's practice location on file with NPPES is 36321 Grays Airport Rd, Fruitland Park, FL 34731-5418.
- What is Lubis Enterprise LLC's phone number?
- The practice phone number listed in the NPPES registry for Lubis Enterprise LLC is (352) 460-0754.
- Who is the authorized official for Lubis Enterprise LLC?
- The authorized official listed on Lubis Enterprise LLC's NPPES record is Deviano Lubis, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lubis Enterprise LLC's NPI active?
- Yes — Lubis Enterprise LLC's NPI (1477175636) is active in the NPPES registry as of the last update on 2020-05-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.