Emerald Shores Health Care Associates Llc in Callaway - Skilled Nursing Facility

Emerald Shores Health Care Associates Llc - NPI 1023093804

Emerald Shores Health Care Associates Llc is a Skilled Nursing Facility in Callaway, Florida. Emerald Shores Health Care Associates Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Emerald Shores Health Care Associates Llc is 1023093804. The last update date is 2013-11-19.

Emerald Shores Health Care Associates Llc's current location address is 626 N Tyndall Pkwy, Callaway, Florida. You can contact this provider via phone number 8508716363 and fax number 8508716367. The mailing address for Emerald Shores Health Care Associates Llc is 626 N Tyndall Pkwy, Callaway, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Emerald Shores Health Care Associates Llc
Address 626 N Tyndall Pkwy, Callaway, Florida
Phone Number 8508716363
Fax Number 8508716367
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MANAGER
Authorized Official Name Mark C. Jeffrey
Telephone Number 8508716363

NPI Number Detail

NPI Number 1023093804
Provider Enumeration Date 2005-12-14
Last Updated Date 2013-11-19

Provider Mailing Address Detail

Address 626 N Tyndall Pkwy
City Callaway
State Florida (FL)
Post Code 324046132
Phone Number 8508716363
Fax Number 8508716367

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No SNF1292096
Definition:
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
25219100 FL --

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FAQs about Emerald Shores Health Care Associates Llc

What is the unique 10-digit identification code assigned to Emerald Shores Health Care Associates Llc by the Centers for Medicare & Medicaid Services?

The Emerald Shores Health Care Associates Llc has been issued the NPI (National Provider Identifier) 1023093804, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Emerald Shores Health Care Associates Llc?

The Emerald Shores Health Care Associates Llc is situated at 626 N Tyndall Pkwy, in the city of Callaway, state of FL, with the zip code 324046132.

What is Emerald Shores Health Care Associates Llc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Emerald Shores Health Care Associates Llc's area of specialization is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this field of practice is 314000000X.

On what date did Emerald Shores Health Care Associates Llc receive its 1023093804 assignment from the Centers for Medicare & Medicaid Services?

The Emerald Shores Health Care Associates Llc was assigned its 1023093804 on 2005-12-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Emerald Shores Health Care Associates Llc most recently updated or refreshed?

The details pertaining to the Emerald Shores Health Care Associates Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-11-19.

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