Blue Lake Post Acute LLC
NPI 1710613500 · Skilled Nursing Facility · Deland, FL
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blue Lake Post Acute LLC is a Skilled Nursing Facility organization in Deland, FL (NPI 1710613500).
Provider details
- NPI number
- 1710613500
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Scott Tanner, Legal Counsel(949) 430-5178
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
3 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
- 2022-07-25
- Last updated
- 2023-01-19
- Certified
- 2023-01-19
Frequently asked questions
- What is Blue Lake Post Acute LLC's NPI number?
- Blue Lake Post Acute LLC's National Provider Identifier (NPI) is 1710613500, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blue Lake Post Acute LLC?
- Blue Lake Post Acute LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Blue Lake Post Acute LLC located?
- Blue Lake Post Acute LLC's practice location on file with NPPES is 991 E New York Ave, Deland, FL 32724-5664.
- What is Blue Lake Post Acute LLC's phone number?
- The practice phone number listed in the NPPES registry for Blue Lake Post Acute LLC is (386) 734-9083.
- Does Blue Lake Post Acute LLC accept Medicare?
- Blue Lake Post Acute 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 Blue Lake Post Acute LLC?
- The authorized official listed on Blue Lake Post Acute LLC's NPPES record is Scott Tanner, Legal Counsel. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blue Lake Post Acute LLC's NPI active?
- Yes — Blue Lake Post Acute LLC's NPI (1710613500) is active in the NPPES registry as of the last update on 2023-01-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.