Healthcare Provider Details

I. General information

NPI: 1871418947
Provider Name (Legal Business Name): LAKE WORTH SNF OPERATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 N A ST
LAKE WORTH BEACH FL
33460-6013
US

IV. Provider business mailing address

2501 N A ST
LAKE WORTH BEACH FL
33460-6013
US

V. Phone/Fax

Practice location:
  • Phone: 561-421-4041
  • Fax:
Mailing address:
  • Phone: 561-421-4041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: SOLOMON KLEIN
Title or Position: AUTHORIZED REPRESENTATIVE
Credential:
Phone: 212-308-1600