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

Still Waters of Lake City, Inc

Organization Assisted Living Facility · NPI 1104160027

Still Waters of Lake City, Inc is an Assisted Living Facility in Lake City, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

507 NW Hall Of Fame Dr
Lake City, FL 32055-4835
Phone: (386) 755-6560
Fax: (386) 628-5018
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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 AL9472 (FL)
Alzheimer Center (Dementia Center) Taxonomy 311500000X · Licence AL9472 (FL)
Adult Care Home Facility Taxonomy 311ZA0620X · Licence AL9472 (FL)
Respite Care Taxonomy 385H00000X · Licence AL9472 (FL)

Record details

NPI number1104160027
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Threasa Hysell — Executive Director · (386) 755-6560
NPI enumeratedNovember 15, 2012
Last updated in NPPESNovember 15, 2012
Mailing address507 Nw Hall Of Fame Dr, Lake City, FL 32055-4835

Other providers in Lake City