CORDOVA REHAB INC (NPI# 1063404754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063404754 |
| Entity Type | Organization |
| Organization Name | CORDOVA REHAB INC |
| Other Organization Name | GLENCOVE NURSING PAVILION |
| Practice Address |
1027 E. Highway Business 98 Panama City FL 32401-3632 |
| Mailing Address |
2 N Palafox St Pensacola FL 32502-5631 |
| Practice Telephone | 8508721438 |
| Practice Fax Number | 8507639711 |
| Mailing Telephone | 8504300000 |
| Mailing Fax Number | 8504366766 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SCOTT J BELL (CEO PRESIDENT) |
| Authorized Official Telephone | 8504300000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | SNF11740962 | FL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Glencove Nursing Pavilion | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134111073 | Cordova Rehab Inc | Skilled Nursing Facility | 4294 3rd Ave, Marianna, FL 32446-2137 | 2005-08-17 |
| Street Address |
1027 E. HIGHWAY BUSINESS 98 |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32401-3632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760946727 | Panama City Drugs | Pharmacy | 3127 East Bus 98, Panama City, FL 32401 | 2019-01-24 |
| 1154813418 | Karl Roger Metzger | Pharmacist | 306 S Macarthur Ave, Panama City, FL 32401 | 2018-06-03 |
| 1942703905 | Muhammad Eckhaus | Acupuncturist | 2401 West 15th Street, Panama City, FL 32401 | 2018-03-15 |
| 1922534171 | Wolford Family Practice Inc | Nurse Practitioner | 1027 E Business Hwy 98, Panama City, FL 32401 | 2017-05-10 |
| 1508397381 | Shoreline Medical Solutions & Dme, LLC | Durable Medical Equipment & Medical Supplies | 405 W Oak Ave Ste B, Panama City, FL 32401 | 2017-03-23 |
| 1679027189 | David Lawrence Angier | Behavioral Analyst | 904 Flower Ave, Panama City, FL 32401 | 2016-08-12 |
| 1427422369 | Kathy Purdessy | Nurse Practitioner | 801 E 6th St Ste 604, Panama City, FL 32401 | 2015-11-16 |
| 1881015154 | Anesthesia Unlimited Inc | Nurse Anesthetist, Certified Registered | 801 E 6th Stret, Ste 205, Panama City, FL 32401 | 2014-01-03 |
| 1598193765 | Lashunda Sherese Thomas | Social Worker | 2711 W. 15th St., Panama City, FL 32401 | 2013-10-24 |
| 1144654153 | Raymond Dretti Pacheco | Licensed Practical Nurse | 509 N Center Ave, Panama City, FL 32401 | 2013-08-27 |
| Find all providers in zip 32401 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003302027 | Pruitthealth - Panama City, LLC | Skilled Nursing Facility | 3212 Jenks Ave, Panama City, FL 32405-4224 | 2018-07-02 |
| 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 |
| 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 | ||||
| City | PANAMA CITY |
| Zip Code | 32401 |
Please comment or provide details below to improve the information on CORDOVA REHAB INC.
| 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.