Provider Demographics
NPI:1821582438
Name:BARNETT LAKEVIEW ALF INC.
Entity Type:Organization
Organization Name:BARNETT LAKEVIEW ALF INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-877-5606
Mailing Address - Street 1:3833 SW 33RD ST
Mailing Address - Street 2:
Mailing Address - City:WEST PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33023-5682
Mailing Address - Country:US
Mailing Address - Phone:954-967-0690
Mailing Address - Fax:954-967-0690
Practice Address - Street 1:3833 SW 33RD ST
Practice Address - Street 2:
Practice Address - City:WEST PARK
Practice Address - State:FL
Practice Address - Zip Code:33023-5682
Practice Address - Country:US
Practice Address - Phone:954-967-0690
Practice Address - Fax:954-967-0690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-18
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL310400000X
310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility