Still Waters of Lake City, Inc.
NPI 1104160027ActiveOrganization· Assisted Living Facility· Lake City, FL
Assisted Living Facility in Lake City, Florida, registered in NPPES in November 2012. The authorized official on file is Threasa Hysell, R.N., Executive Director.
Overview
| NPI | 1104160027 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 15, 2012 |
| Last updated in NPPES | Nov 15, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | AL9472 | FL |
| Alzheimer Center (Dementia Center) | 311500000X | AL9472 | FL |
| Custodial Care Facility, Adult Care Home | 311ZA0620X | AL9472 | FL |
| Respite Care | 385H00000X | AL9472 | FL |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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