Sa-Pg-West Palm Beach Llc in West Palm Beach - Skilled Nursing Facility
Sa-Pg-West Palm Beach Llc - NPI 1114923356
Sa-Pg-West Palm Beach Llc is a Skilled Nursing Facility in West Palm Beach, Florida. Sa-Pg-West Palm Beach Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Sa-Pg-West Palm Beach Llc is 1114923356. The last update date is 2008-07-22.
Sa-Pg-West Palm Beach Llc's current location address is 300 Executive Center Dr, West Palm Beach, Florida. You can contact this provider via phone number 5614715566 and fax number 5614713980. The mailing address for Sa-Pg-West Palm Beach Llc is 300 Executive Center Dr, West Palm Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sa-Pg-West Palm Beach Llc |
|---|---|
| Address | 300 Executive Center Dr, West Palm Beach, Florida |
| Phone Number | 5614715566 |
| Fax Number | 5614713980 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | COO |
|---|---|
| Authorized Official Name | Paley Alex |
| Telephone Number | 9143904363 |
NPI Number Detail
| NPI Number | 1114923356 |
|---|---|
| Provider Enumeration Date | 2005-06-22 |
| Last Updated Date | 2008-07-22 |
Provider Mailing Address Detail
| Address | 300 Executive Center Dr |
|---|---|
| City | West Palm Beach |
| State | Florida (FL) |
| Post Code | 3340148420 |
| Phone Number | 5614715566 |
| Fax Number | 5614713980 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | SNF1416096 |
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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 |
|---|---|---|---|
| 25725700 | FL | -- |
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What is the Sa-Pg-West Palm Beach Llc's 1114923356?
The Sa-Pg-West Palm Beach Llc's NPI (National Provider Identifier) Number is 1114923356. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Sa-Pg-West Palm Beach Llc located?
The Sa-Pg-West Palm Beach Llc is located at 300 Executive Center Dr, West Palm Beach, FL 3340148420.
What is the Sa-Pg-West Palm Beach Llc's specialty and taxonomy code?
The Sa-Pg-West Palm Beach Llc's specialty is Skilled Nursing Facility, and the corresponding taxonomy code is 314000000X.
When was the Sa-Pg-West Palm Beach Llc's 1114923356 issued?
The Sa-Pg-West Palm Beach Llc's 1114923356 was issued on 2005-06-22.
On what date did the Centers for Medicare & Medicaid Services issue the 1114923356 to Sa-Pg-West Palm Beach Llc?
The Sa-Pg-West Palm Beach Llc received its 1114923356 assignment from the Centers for Medicare & Medicaid Services on 2005-06-22.