Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake City Nursing and Rehabilitation Center, LLC

Organization Skilled Nursing Facility · NPI 1053420729

Lake City Nursing and Rehabilitation Center, LLC is a Skilled Nursing Facility in Lake City, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2055 Rex Rd
Lake City, GA 30260-3944
Phone: (404) 361-5114
Fax: (404) 363-6366
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 10311849 (GA)

Record details

NPI number1053420729
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Norbert Bennett — Co-Ceo · (716) 662-4955
NPI enumeratedAugust 29, 2006
Last updated in NPPESDecember 8, 2023
Certification dateDecember 8, 2023
Mailing addressPo Box 428, Orchard Park, NY 14127-0428

Other providers in Lake City