PRUITTHEALTH - PANAMA CITY, LLC


Address: 3212 Jenks Ave, Panama City, FL 32405-4224
Phone: 8507711521

PRUITTHEALTH - PANAMA CITY, LLC (NPI# 1003302027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003302027
Entity Type Organization
Organization Name PRUITTHEALTH - PANAMA CITY, LLC
Other Organization Name PRUITTHEALTH - PANAMA CITY
Practice Address 3212 Jenks Ave
Panama City
FL 32405-4224
Mailing Address 1626 Jeurgens Ct
Norcross
GA 30093-2219
Practice Telephone 8507711521
Practice Fax Number 8507711522
Mailing Telephone 7702796200
Enumeration Date 2018-07-02
Last Update Date 2018-11-09
Authorized Official Name NEIL L. PRUITT JR. (CHAIRMAN AND CEO OF MANAGER)
Authorized Official Telephone 7702796200
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
PruittHealth - Panama City Doing Business As Name - Organization

Office Location

Street Address 3212 JENKS AVE
City PANAMA CITY
State FL
Zip Code 32405-4224

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346865169 Tiffany Brauer Dietitian, Registered 3212 Jenks Ave, Panama City, FL 32405-4224 2020-06-09
1740744663 Saol Md LLC Internal Medicine 3212 Jenks Ave, Panama City, FL 32405-4224 2019-01-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457962136 Kimberlea Fox Behavioral Analyst 4750 Collegiate Drive, Technology Building 157, Panama City, FL 32405 2020-08-14
1598325714 Covenant Home Health Care, LLC Home Health 107 W. 19th Street, Panama City, FL 32405 2019-06-19
1467921403 Amy Hancock Counselor 1212 W. 19th St., Panama City, FL 32405 2018-11-20
1063991917 Patricia Kagendo Mutunga Day Training, Developmentally Disabled Services 2813 Fairmont Dr, Panama City, FL 32405 2018-08-11
1871087882 Southeastern Dermatology Group Pa Pharmacy 2505 Harrison Ave Ste A, Panama City, FL 32405 2018-06-22
1346733615 Jessica Nicole Graham Nurse Practitioner 2507 Harrison Ave Unit 101, Panama City, FL 32405 2018-06-12
1437658424 Coastal Mobility Transportation, LLC Non-emergency Medical Transport (VAN) 203 Forest Park Circle, Panama City, FL 32405 2018-02-06
1003314915 The Anti-aging Clinic of Northwest Florida Obstetrics & Gynecology 3019 Osprey Cir, Panama City, FL 32405 2018-01-25
1255848487 Sarah Theriot Social Worker 700 W 23rd St Bldg H, Panama City, FL 32405 2018-01-09
1336686054 Angela Leake Registered Nurse 449 W 23 St, Panama City, FL 32405 2017-01-20
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy 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 services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619414752 Hugo1corp Skilled Nursing Facility 2515 E Business 98, Panama City, FL 32401-4702 2017-01-27
1780011296 Genesis Rehab Services Skilled Nursing Facility 2819 Tracy Lynn Ct, Panama City, FL 32405-7215 2013-09-28
1770855934 Lavie Rehab Skilled Nursing Facility 636 Tyndall Pkwy, Panama City, FL 32404 2012-02-03
1255591798 Nf Glen Cove LLC Skilled Nursing Facility 1027 E Highway Business 98, Panama City, FL 32401 2008-06-09
1306940606 Lisenby Lllp Skilled Nursing Facility 1400 West Eleventh Street, Panama City, FL 32401-1896 2006-09-08
1700832466 Gulf Coast Health Care Associates LLC Skilled Nursing Facility 1937 Jenks Ave, Panama City, FL 32405-4510 2006-05-25
1063485118 Fsl-panama City, LLC Skilled Nursing Facility 2100 Jenks Ave, Panama City, FL 32405-4530 2006-02-09
1154305688 Community Health and Rehabilitation Center Skilled Nursing Facility 3611 Transmitter Rd, Panama City, FL 32404-9799 2005-11-29
1063404754 Cordova Rehab Inc Skilled Nursing Facility 1027 E. Highway Business 98, Panama City, FL 32401-3632 2005-08-18
1306838222 Delta Health Group Inc Skilled Nursing Facility 924 W 13th St, Panama City, FL 32401-2214 2005-08-17
Find all providers in PANAMA CITY

Competitor

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City PANAMA CITY
Zip Code 32405

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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