Life Care Ponte Vedra Inc in Ponte Vedra Beach - Skilled Nursing Facility
Life Care Ponte Vedra Inc - NPI 1578573499
Life Care Ponte Vedra Inc is a Skilled Nursing Facility in Ponte Vedra Beach, Florida. Life Care Ponte Vedra Inc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Life Care Ponte Vedra Inc is 1578573499. The last update date is 2009-04-13.
Life Care Ponte Vedra Inc's current location address is 1003 York Rd, Ponte Vedra Beach, Florida. You can contact this provider via phone number 9042851055 and fax number 9042851384. The mailing address for Life Care Ponte Vedra Inc is 1003 York Rd, Ponte Vedra Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Life Care Ponte Vedra Inc |
|---|---|
| Address | 1003 York Rd, Ponte Vedra Beach, Florida |
| Phone Number | 9042851055 |
| Fax Number | 9042851384 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Johnson M Raymond |
| Telephone Number | 9042731701 |
NPI Number Detail
| NPI Number | 1578573499 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2009-04-13 |
Provider Mailing Address Detail
| Address | 1003 York Rd |
|---|---|
| City | Ponte Vedra Beach |
| State | Florida (FL) |
| Post Code | 32082 |
| Phone Number | 9042851055 |
| Fax Number | 9042851384 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 1574095 |
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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 |
|---|---|---|---|
| 105630 | FL | OSCAR |
Post Comment/ Review Below
What is the Life Care Ponte Vedra Inc's unique identification number?
The Life Care Ponte Vedra Inc has been assigned the NPI (National Provider Identifier) Number 1578573499 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Life Care Ponte Vedra Inc's facilities are situated?
The facilities of Life Care Ponte Vedra Inc are physically located at the following address: 1003 York Rd, Ponte Vedra Beach, FL, 32082.
What is the Life Care Ponte Vedra Inc's area of specialization and corresponding taxonomy classification?
The Life Care Ponte Vedra Inc's specialty field is Skilled Nursing Facility, and it falls under the taxonomy code 314000000X, which categorizes healthcare providers based on their specialties.
When was the Life Care Ponte Vedra Inc's 1578573499 issued?
The Life Care Ponte Vedra Inc's 1578573499 was issued on 2006-08-09.
When was the information regarding Life Care Ponte Vedra Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Life Care Ponte Vedra Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-04-13.