Lake Worth Rehabilitation Center LLC
NPI 1063263861ActiveOrganization· Skilled Nursing Facility· Lake Worth, FL
Skilled Nursing Facility in Lake Worth, Florida, registered in NPPES in March 2024, part of Sovereign Healthcare Holdings LLC. The authorized official on file is Donald Melton, Chief Financial Officer. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1063263861 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Sovereign Healthcare Holdings LLC |
| NPI issued | Mar 29, 2024 |
| Last updated in NPPES | Mar 29, 2024 |
| Certified by provider | Mar 29, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (FL) |
|---|
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