Provider Profile
SILVER LAKE VILLAGE
Assisted Living Facility
FACILITY PROFILE
Street Address
- 34601 RADIO ROAD
LEESBURG, FL 34788
County: Lake - Phone: (352) 365-9929
Mailing Address
- 34601 RADIO ROAD
LEESBURG, FL 34788
County: Lake - Phone: (352) 365-9929
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Facility Information:
| Facility/Provider Type: | Assisted Living Facility | |||||||||
| Administrator: | MARTHA BHAGWANSINGH | |||||||||
| Financial Officer: | SAMUEL F BONGIOVANNI | |||||||||
| Owner/Licensee: | SILVER LAKE VILLAGE INC | |||||||||
| Owner/Licensee Since: | 8/1/2019 | |||||||||
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| Profit Status: | For-Profit | |||||||||
| Management Company: | Not Available | |||||||||
| Manager Since: | Not Available | |||||||||
| Licensed Beds: | 8 | |||||||||
| Bed Types: | Optional State Supplement: 0 Total Capacity: 8 Extended Congregate Care: 0 Private: 8 | |||||||||
| AHCA Number (File Number): | 11964410 | |||||||||
| AHCA Field Office: | 03 | |||||||||
| License Number: | 8956 | |||||||||
| Current License Effective: | 10/30/2023 | |||||||||
| Current License Expires: | 10/29/2025 | |||||||||
| License Status: | LICENSED | |||||||||
Services/Characteristics
| Medicaid Services: | Assistive Care Services |
| Activities: | Other |
| Adult Day Care Services: | Yes |
| Continuing Care Retirement Community: | No |
| Languages Spoken: | English |
| Nurse Availability: | 3rd Party 24hrDirect 24hr |
| Payment Forms Accepted: | MedicaidOtherVA |
| Religious Affiliations: | Other |
| Community Residential Home | Yes |
Please be advised that local zoning authorities may have additional restrictions or requirements not under the jurisdiction of the Agency for Health Care Administration. Contact your local zoning authorities for any specific requirements. See also 419.001 F.S.
Emergency Power Plan Summary
| Onsite Alternate Power Source: | Fixed Generator |
| Emergency Power Supports: | Entire Facility |
| Plan Approval: | 4/13/2018 |
| Implementation Date: | 4/15/2018 |
| Cooling Method: | Air Conditioner |
| Areas Cooled: | Entire Facility |
| Square Footage Cooled: | 2300 |
| Number of People to use Cooled Space: | 8 |
Legal Actions
| Date Initiated | Case # | Case Type | Violation | Fine Amount | Date Imposed |
|---|---|---|---|---|---|
| Change of ownership occurred 8/1/2019 | |||||
| 6/24/2015 | 2015006722 | Fine | Reporting | $250.00 | 7/16/2015 |
Important information and facility/provider definitions can be found in the Glossary.
Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.