Spring Lake Nc, Llc in Winter Haven - Skilled Nursing Facility
Spring Lake Nc, Llc - NPI 1366439952
Spring Lake Nc, Llc is a Skilled Nursing Facility in Winter Haven, Florida. Spring Lake Nc, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Spring Lake Nc, Llc is 1366439952. The last update date is 2014-07-29.
Spring Lake Nc, Llc's current location address is 1540 6th St Nw, Winter Haven, Florida. You can contact this provider via phone number 8632943055 and fax number 8632944210. The mailing address for Spring Lake Nc, Llc is 1540 6th St Nw, Winter Haven, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Spring Lake Nc, Llc |
|---|---|
| Address | 1540 6th St Nw, Winter Haven, Florida |
| Phone Number | 8632943055 |
| Fax Number | 8632944210 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AS SOLE ME |
|---|---|
| Authorized Official Name | Kellett B. Samuel |
| Telephone Number | 4042337048 |
NPI Number Detail
| NPI Number | 1366439952 |
|---|---|
| Provider Enumeration Date | 2005-09-29 |
| Last Updated Date | 2014-07-29 |
Provider Mailing Address Detail
| Address | 1540 6th St Nw |
|---|---|
| City | Winter Haven |
| State | Florida (FL) |
| Post Code | 338812368 |
| Phone Number | 8632943055 |
| Fax Number | 8632944210 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | SNF15110961 |
|
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 |
|---|---|---|---|
| 26457100 | FL | -- | |
| V673P-5338 | VA |
Post Comment/ Review Below
What is the Spring Lake Nc, Llc's unique identification number?
The Spring Lake Nc, Llc has been assigned the NPI (National Provider Identifier) Number 1366439952 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Spring Lake Nc, Llc is physically located?
The Spring Lake Nc, Llc is situated at the following address: 1540 6Th St Nw, Winter Haven, FL 338812368.
What is Spring Lake Nc, Llc'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 Spring Lake Nc, Llc is Skilled Nursing Facility, and the taxonomy classification code that categorizes this area of expertise is 314000000X.
On what date did the Spring Lake Nc, Llc receive the assignment of its 1366439952 from the Centers for Medicare & Medicaid Services?
The Spring Lake Nc, Llc was issued its 1366439952 by the Centers for Medicare & Medicaid Services on 2005-09-29.
When was the information regarding Spring Lake Nc, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Spring Lake Nc, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-07-29.
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