Shady Rest Care Pavilion, Inc. in Fort Myers - Skilled Nursing Facility
Shady Rest Care Pavilion, Inc. - NPI 1881681724
Shady Rest Care Pavilion, Inc. is a Skilled Nursing Facility in Fort Myers, Florida. Shady Rest Care Pavilion, Inc. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Shady Rest Care Pavilion, Inc. is 1881681724. The last update date is 2016-09-01.
Shady Rest Care Pavilion, Inc.'s current location address is 2310 N Airport Rd, Fort Myers, Florida. You can contact this provider via phone number 2399318401 and fax number 2399318453. The mailing address for Shady Rest Care Pavilion, Inc. is 2310 N Airport Rd, Fort Myers, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shady Rest Care Pavilion, Inc. |
|---|---|
| Address | 2310 N Airport Rd, Fort Myers, Florida |
| Phone Number | 2399318401 |
| Fax Number | 2399318453 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Edwards R Weston |
| Telephone Number | 2399318402 |
NPI Number Detail
| NPI Number | 1881681724 |
|---|---|
| Provider Enumeration Date | 2005-10-05 |
| Last Updated Date | 2016-09-01 |
Provider Mailing Address Detail
| Address | 2310 N Airport Rd |
|---|---|
| City | Fort Myers |
| State | Florida (FL) |
| Post Code | 339071426 |
| Phone Number | 2399318401 |
| Fax Number | 2399318453 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | SNF1497096 |
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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 |
|---|---|---|---|
| 21390000 | FL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Shady Rest Care Pavilion, Inc.?
The Shady Rest Care Pavilion, Inc. has been issued the NPI (National Provider Identifier) 1881681724 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Shady Rest Care Pavilion, Inc.?
The Shady Rest Care Pavilion, Inc. is physically situated at 2310 N Airport Rd, in the city of Fort Myers, state of FL, with the postal code 339071426.
What is Shady Rest Care Pavilion, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Shady Rest Care Pavilion, Inc. is Skilled Nursing Facility, and the taxonomy classification code that categorizes this area of expertise is 314000000X.
On what date did the Shady Rest Care Pavilion, Inc. receive its 1881681724 assignment from the Centers for Medicare & Medicaid Services?
The Shady Rest Care Pavilion, Inc. was assigned its 1881681724 by the Centers for Medicare & Medicaid Services on 2005-10-05.
As of what date were the details related to Shady Rest Care Pavilion, Inc. most recently updated or revised?
The information pertaining to Shady Rest Care Pavilion, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2016-09-01.