OrganizationActive
Lakewood Nursing Center Inc
NPI 1972505949 · Skilled Nursing Facility · Crescent City, FL
Provider details
- NPI number
- 1972505949
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Hagan, President(770) 993-4000
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
100 N Lake St
Crescent City, FL 32112-2620
Phone: (386) 698-2222
Fax: (386) 698-2717
Street-level locationGet directions
Mailing address
100 N Lake St
Crescent City, FL 32112-2620
Other names (DBA / former)
- Former legal business name
- Putnam Council on Aging, Inc.
- Former legal business name
- Putnam Council on Aging, Inc.
Registry dates
- Enumerated
- 2005-08-10
- Last updated
- 2019-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.