Scg Gracewood Llc in Tampa - Skilled Nursing Facility
Scg Gracewood Llc - NPI 1255333290
Scg Gracewood Llc is a Skilled Nursing Facility in Tampa, Florida. Scg Gracewood Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Scg Gracewood Llc is 1255333290. The last update date is 2015-01-12.
Scg Gracewood Llc's current location address is 1240 Marbella Plaza Dr, Tampa, Florida. You can contact this provider via phone number 8133412700 and fax number 8133412755. The mailing address for Scg Gracewood Llc is 1240 Marbella Plaza Dr, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Scg Gracewood Llc |
|---|---|
| Address | 1240 Marbella Plaza Dr, Tampa, Florida |
| Phone Number | 8133412700 |
| Fax Number | 8133412755 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Goyer Kevin |
| Telephone Number | 8133412700 |
NPI Number Detail
| NPI Number | 1255333290 |
|---|---|
| Provider Enumeration Date | 2005-08-10 |
| Last Updated Date | 2015-01-12 |
Provider Mailing Address Detail
| Address | 1240 Marbella Plaza Dr |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336197906 |
| Phone Number | 8133412700 |
| Fax Number | 8133412755 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | NH4155 |
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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 |
|---|---|---|---|
| 31664400 | FL | -- | |
| L85 | FL | BLUE CROSS AND BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Scg Gracewood Llc by the Centers for Medicare & Medicaid Services?
The Scg Gracewood Llc has been issued the NPI (National Provider Identifier) 1255333290 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Scg Gracewood Llc is geographically located?
The Scg Gracewood Llc is physically situated at the following location: 1240 Marbella Plaza Dr, Tampa, FL, 336197906.
What is Scg Gracewood Llc's area of expertise and its corresponding taxonomy classification?
The Scg Gracewood Llc's field of specialization is Skilled Nursing Facility, and it falls under the taxonomy code 314000000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1255333290 to Scg Gracewood Llc?
The Centers for Medicare & Medicaid Services assigned the 1255333290 to Scg Gracewood Llc on 2005-08-10.
As of what date were the details related to Scg Gracewood Llc most recently updated or revised?
The information pertaining to Scg Gracewood Llc, including its address, specialty, and other relevant details, was last updated or revised on 2015-01-12.