Conway Lakes Nc, LLC
NPI 1649267212ActiveOrganization· Skilled Nursing Facility· Orlando, FL
Skilled Nursing Facility in Orlando, Florida, registered in NPPES in September 2005. The authorized official on file is Samuel B. Kellett, As Sole Member Of Sbk Capital Llc. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1649267212 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 29, 2005 |
| Last updated in NPPES | Feb 14, 2022 |
| Certified by provider | Feb 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | SNF11020963 | 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) | Enrolled Part A Provider - Skilled Nursing Facility (FL) |
|---|
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