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Eagle Lake Foundation Inc

Skilled Nursing Facility in St Petersburg, FL · enumerated 2006 · authorized official Lynda Hebbeln, Vp of Acct & Finance.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1225046584

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Registry record

Entity type Organization (Type 2)
Legal business name Eagle Lake Foundation Inc
Other name <Unavail>
Practice address 1100 66th St N, St Petersburg, FL, 33710
Fax (727) 345-7064
Enumeration date Aug 3, 2006
Last updated in NPPES Nov 5, 2010

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License SNF15650961 (FL) Primary

Authorized official

Name Lynda Hebbeln
Title Vp of Acct & Finance

Other identifiers

Identifier Type State Issuer
031106500 Medicaid FL -
L43 Other FL BLUE CROSS PROVIDER #

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Eagle Lake Foundation Inc located?
The practice location on file with NPPES is in St Petersburg, FL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-11-05. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-11-05.