Spring Lake Nc, LLC
Spring Lake Nc, LLC is a healthcare organization registered as Skilled Nursing Facility in Winter Haven, FL, holding Type 2 (organization) NPI 1366439952 since 2005. The authorized official on file is Samuel Kellett, As Sole Member of Sbk Capital LLC.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1366439952 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Spring Lake Nc, LLC |
| Other name | <Unavail> |
| Practice address | 1540 6TH ST NW, Winter Haven, FL, 33881 |
| Phone | 8632943055 |
| Fax | 8632944210 |
| Enumeration date | 2005-09-29 |
| Last updated in NPPES | 2014-07-29 |
Authorized official
| Name | Samuel Kellett |
|---|---|
| Title | As Sole Member of Sbk Capital LLC |
| Phone | 4042337048 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | SNF15110961 | FL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 026457100 | Medicaid | FL | — |
| V673P-5338 | Other | — | VA |
Copy-ready billing details
Provider: Spring Lake Nc, LLC NPI: 1366439952 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 1540 6TH ST NW, Winter Haven, FL, 33881
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1538266945 | Spring Lake Nc, LLC | Organization | Skilled Nursing Facility | Winter Haven, FL |
| 1811425713 | Leo Hurtado | Individual | Physical Therapy Assistant | Winter Haven, FL |
| 1699247494 | Marnelli Budlong | Individual | Physical Therapy Assistant | Winter Haven, FL |
Verify this record
Cross-check NPI 1366439952 against the authoritative CMS record: view Spring Lake Nc, LLC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Spring Lake Nc, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2014-07-29.