Scg Lake Country Llc in Tampa - Skilled Nursing Facility
Scg Lake Country Llc - NPI 1033110457
Scg Lake Country Llc is a Skilled Nursing Facility in Tampa, Florida. Scg Lake Country Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Scg Lake Country Llc is 1033110457. The last update date is 2010-01-22.
Scg Lake Country Llc's current location address is 1240 Marbella Plaza Dr., Tampa, Florida. You can contact this provider via phone number 8133412700 and fax number 8136760127. The mailing address for Scg Lake Country Llc is 1240 Marbella Plaza Dr., Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Scg Lake Country Llc |
|---|---|
| Address | 1240 Marbella Plaza Dr., Tampa, Florida |
| Phone Number | 8133412700 |
| Fax Number | 8136760127 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Vaughan Daniel Robert |
| Telephone Number | 8133412700 |
NPI Number Detail
| NPI Number | 1033110457 |
|---|---|
| Provider Enumeration Date | 2005-08-09 |
| Last Updated Date | 2010-01-22 |
Provider Mailing Address Detail
| Address | 1240 Marbella Plaza Dr. |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336197905 |
| Phone Number | 8133412700 |
| Fax Number | 8136760127 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | NH4301-4301 |
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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 |
|---|---|---|---|
| 100776270A | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Scg Lake Country Llc by the Centers for Medicare & Medicaid Services?
The Scg Lake Country Llc has been issued the NPI (National Provider Identifier) 1033110457, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Scg Lake Country Llc is physically located?
The Scg Lake Country Llc is situated at the following address: 1240 Marbella Plaza Dr., Tampa, FL 336197905.
What is Scg Lake Country Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Scg Lake Country 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 Centers for Medicare & Medicaid Services issue the 1033110457 to Scg Lake Country Llc?
The Scg Lake Country Llc received its 1033110457 assignment from the Centers for Medicare & Medicaid Services on 2005-08-09.
As of what date were the details pertaining to Scg Lake Country Llc last refreshed?
The information related to the Scg Lake Country Llc, including its address, specialty, and other relevant details, was last updated on 2010-01-22.