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

Lake Gibson Village, LLC

Organization Assisted Living Facility · NPI 1427547025

Lake Gibson Village, LLC is an Assisted Living Facility in Lakeland, Florida. Licensed in Florida. Registered with an NPI since 2018.

Licensed in
FL
In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

771 Carpenters Way
Lakeland, FL 33809-3922
Phone: (850) 766-3712
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 13081 (FL)

Record details

NPI number1427547025
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Renee Tucker — Chief Executive Officer · (850) 766-3712
NPI enumeratedMay 9, 2018
Last updated in NPPESMay 9, 2018
Mailing address771 Carpenters Way, Lakeland, FL 33809-3922

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