OrganizationActive
Lake City Mgt LLC
NPI 1750365706 · Skilled Nursing Facility · Lake City, FL
Lake City Mgt LLC is a Skilled Nursing Facility organization in Lake City, FL (NPI 1750365706).
Provider details
- NPI number
- 1750365706
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Lavern Herzog, President(386) 956-6956
- License
- SNF15510961 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
1270 Sw Main Blvd
Lake City, FL 32025-6684
Phone: (386) 752-7900
Fax: (386) 752-8556
Street-level locationGet directions
Mailing address
1270 Sw Main Blvd
Lake City, FL 32025-6684
Other names (DBA / former)
- Doing business as
- Avalon Healthcare Center
- Doing business as
- Avalon Healthcare Center
Registry dates
- Enumerated
- 2005-12-02
- Last updated
- 2020-10-08
- Certified
- 2020-10-08
Frequently asked questions
- What is Lake City Mgt LLC's NPI number?
- Lake City Mgt LLC's National Provider Identifier (NPI) is 1750365706, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake City Mgt LLC?
- Lake City Mgt LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Lake City Mgt LLC located?
- Lake City Mgt LLC's practice location on file with NPPES is 1270 Sw Main Blvd, Lake City, FL 32025-6684.
- What is Lake City Mgt LLC's phone number?
- The practice phone number listed in the NPPES registry for Lake City Mgt LLC is (386) 752-7900.
- Who is the authorized official for Lake City Mgt LLC?
- The authorized official listed on Lake City Mgt LLC's NPPES record is Lavern Herzog, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake City Mgt LLC's NPI active?
- Yes — Lake City Mgt LLC's NPI (1750365706) is active in the NPPES registry as of the last update on 2020-10-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.