Phoenix Healthcare Properties Of Mandarin, Llc in Jacksonville - Skilled Nursing Facility
Phoenix Healthcare Properties Of Mandarin, Llc - NPI 1538192208
Phoenix Healthcare Properties Of Mandarin, Llc is a Skilled Nursing Facility in Jacksonville, Florida. Phoenix Healthcare Properties Of Mandarin, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Phoenix Healthcare Properties Of Mandarin, Llc is 1538192208. The last update date is 2009-12-01.
Phoenix Healthcare Properties Of Mandarin, Llc's current location address is 10680 Saint Augustine Road, Jacksonville, Florida. You can contact this provider via phone number 9042684953. The mailing address for Phoenix Healthcare Properties Of Mandarin, Llc is 10680 Saint Augustine Road, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Phoenix Healthcare Properties Of Mandarin, Llc |
|---|---|
| Address | 10680 Saint Augustine Road, Jacksonville, Florida |
| Phone Number | 9042684953 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING M |
|---|---|
| Authorized Official Name | Sena R. Dion |
| Telephone Number | 3057594046 |
NPI Number Detail
| NPI Number | 1538192208 |
|---|---|
| Provider Enumeration Date | 2006-07-08 |
| Last Updated Date | 2009-12-01 |
Provider Mailing Address Detail
| Address | 10680 Saint Augustine Road |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322571000 |
| Phone Number | 9042684953 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | SNF13060961 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31237100 | FL | -- | |
| L69 | FL | BLUE CROSS INSURANCE |
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What is the unique identifier code issued to Phoenix Healthcare Properties Of Mandarin, Llc by the Centers for Medicare & Medicaid Services?
The Phoenix Healthcare Properties Of Mandarin, Llc has been assigned the NPI (National Provider Identifier) 1538192208. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Phoenix Healthcare Properties Of Mandarin, Llc located?
The Phoenix Healthcare Properties Of Mandarin, Llc is located at 10680 Saint Augustine Road, Jacksonville, FL 322571000.
What is Phoenix Healthcare Properties Of Mandarin, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Phoenix Healthcare Properties Of Mandarin, Llc's specialized field of practice is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of specialization is 314000000X.
On what date did the Phoenix Healthcare Properties Of Mandarin, Llc receive its 1538192208 assignment from the Centers for Medicare & Medicaid Services?
The Phoenix Healthcare Properties Of Mandarin, Llc was assigned its 1538192208 by the Centers for Medicare & Medicaid Services on 2006-07-08.
When was the information regarding Phoenix Healthcare Properties Of Mandarin, Llc most recently updated?
The details pertaining to the Phoenix Healthcare Properties Of Mandarin, Llc, including its address, specialty, and other relevant information, were last refreshed on 2009-12-01.
NPI Number: 1588667679
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