=====================================================
General NPI Number Information
=====================================================
NPI Number | 1467397638
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | OHI LAKELAND HIGHLANDS INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/22/2026
-----------------------------------------------------
Last Update Date | 04/22/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 963 LAKELAND PARK CENTER DR
-----------------------------------------------------
City | LAKELAND
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33809-3839
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 863-825-4231
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1414 KUHL AVE MAIL POINT 38
-----------------------------------------------------
City | ORLANDO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32806-2008
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 321-843-4926
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SVP, FINANCE
-----------------------------------------------------
Name | JOHN MILLER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 321-843-3180
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 282N00000X
-----------------------------------------------------
Taxonomy Name | General Acute Care Hospital
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------