LEE MEMORIAL HEALTH SYSTEM (NPI# 1114409141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114409141 |
| Entity Type | Organization |
| Organization Name | LEE MEMORIAL HEALTH SYSTEM |
| Other Organization Name | GULF COAST SKILLED NURSING UNIT |
| Practice Address |
13960 Plantation Rd Fort Myers FL 33912-4303 |
| Mailing Address |
16131 Roserush Ct Fort Myers FL 33908-3634 |
| Practice Telephone | 2393431503 |
| Mailing Telephone | 2393437344 |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-06 |
| Authorized Official Name | BENJAMIN SPENCE (CHEIF FINANCIAL OFFICER) |
| Authorized Official Telephone | 2393436014 |
| Authorized Official Credential | DO |
| Is Organization Subpart | Y |
| Parent Organization Name | LEE MEMORIAL HEALTH SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Gulf Coast Skilled Nursing Unit | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902425028 | Lee Memorial Health System | Clinic/Center | 2525 Harbor Blvd Ste 204, Port Charlotte, FL 33952-5342 | 2020-04-09 |
| 1164051405 | Lee Memorial Health System | Clinic/Center | 2484 Caring Way Unit F, Port Charlotte, FL 33952-5306 | 2020-04-08 |
| 1124513593 | Lee Memorial Health System | Pharmacy | 23450 Via Coconut Point, Estero, FL 34135 | 2018-06-27 |
| 1790153062 | Lee Memorial Health System | Pharmacy | 3361 Pine Ridge Rd, Suite 100, Naples, FL 34109 | 2015-09-03 |
| 1801196266 | Lee Memorial Health System | Pharmacy | 11220 Metro Pkwy Ste 31, Fort Myers, FL 33966-1291 | 2010-11-01 |
| 1942826623 | Lee Memorial Health System | Clinic/Center | 12550 New Brittany Blvd Ste 201, Fort Myers, FL 33907-3655 | 2020-06-18 |
| 1407472186 | Lee Memorial Health System | Clinic/Center | 12550 New Brittany Blvd Ste 100, Fort Myers, FL 33907-3655 | 2020-06-18 |
| 1285263780 | Lee Memorial Health System | Pharmacy | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2020-04-06 |
| 1730718735 | Lee Memorial Health System | Pharmacy | 13681 Doctors Way, Fort Myers, FL 33912-4300 | 2020-04-02 |
| 1104455187 | Lee Memorial Health System | Pharmacy | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 | 2020-04-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LEE MEMORIAL HEALTH SYSTEM | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 |
| System for Award Management (SAM) Entities | LEE MEMORIAL HEALTH SYSTEM FOUNDATION | 16451 Healthpark Commons Dr # 2, Fort Myers, FL 33908-9501 |
| System for Award Management (SAM) Entities | LEE MEMORIAL HEALTH SYSTEM FOUNDATION, INC. | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 |
| Street Address |
13960 PLANTATION RD |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33912-4303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134684814 | Performance Health Surgery Center | Clinic/Center | 9500 Gulf Research Lane, Fort Myers, FL 33912 | 2019-02-06 |
| 1609351899 | Voa Lee County Health Care Facility, Inc. | Skilled Nursing Facility | 14750 Hope Center Loop, Ft. Myers, FL 33912 | 2018-10-03 |
| 1245719954 | Lauren Grimes | Pharmacist | 13711 S Tamiami Trail, Fort Myers, FL 33912 | 2018-08-13 |
| 1972080828 | Solaris Rehab, LLC | Clinic/Center | 14001 Metro Parkway, Fort Myers, FL 33912 | 2018-07-24 |
| 1467943803 | Marie Veronica Scott | Nurse Practitioner | 14015 Danpak Loop, Fort Myers, FL 33912 | 2018-05-22 |
| 1952892291 | Daniels Modern Dentistry, Pa | Dentist | 6871 Daniels Parkway, Suite 100, Fort Myers, FL 33912 | 2018-05-22 |
| 1295258994 | Julie Ann Jakobi | Counselor | 18 Quanery Court, Fort Myers, FL 33912 | 2017-07-25 |
| 1205359908 | Maria Reyes | Developmental Therapist | 8961 Daniels Center Drive Suite 401, Fort Myers, FL 33912 | 2017-07-25 |
| 1669919288 | Darinka Ruiz | Social Worker | 961 Daniels Center Drive, Suite 401, Fort Myers, FL 33912 | 2017-01-20 |
| 1730622598 | Valerie Starnes | Nurse Practitioner | 13411 Parker Commons Blvd Ste 101, Fort Myers, FL 33912 | 2016-11-28 |
| Find all providers in zip 33912 | ||||
| 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 |
|---|---|---|---|---|
| 1386958809 | Usbd Hospitalists & Consultants Inc | Skilled Nursing Facility | 14015 Danpark Loop, Fort Myers, FL 33912-6854 | 2010-07-27 |
| 1669546321 | The Christian & Missionary Alliance Foundation Inc | Skilled Nursing Facility | 15071 Shell Point Blvd, Fort Myers, FL 33908-1639 | 2006-11-17 |
| 1699786061 | Healthpark Care Center, Inc. | Skilled Nursing Facility | 16131 Roserush Ct, Fort Myers, FL 33908-3634 | 2006-08-11 |
| 1992748628 | Cypress Cove At Health Park of Florida, Inc. | Skilled Nursing Facility | 10500 Cypress Cove Dr, Fort Myers, FL 33908-6692 | 2006-06-13 |
| 1952357535 | Lee Health Care Associates LLC | Skilled Nursing Facility | 2826 Cleveland Ave, Fort Myers, FL 33901-6001 | 2006-05-26 |
| 1962457333 | Evans Health Care Associates LLC | Skilled Nursing Facility | 3735 Evans Ave, Fort Myers, FL 33901-9302 | 2006-05-24 |
| 1346294766 | Hqm of Fort Myers, LLC | Skilled Nursing Facility | 13755 Golf Club Pkwy, Fort Myers, FL 33919-5146 | 2006-05-20 |
| 1881681724 | Shady Rest Care Pavilion, Inc. | Skilled Nursing Facility | 2310 N Airport Rd, Fort Myers, FL 33907-1426 | 2005-10-05 |
| 1356345904 | Fi-winkler Court, LLC | Skilled Nursing Facility | 3250 Winkler Avenue Ext, Fort Myers, FL 33916-9414 | 2005-06-10 |
| 1164906558 | Page Operating LLC | Skilled Nursing Facility | 2310 N Airport Rd, Fort Myers, FL 33907-1426 | 2018-09-20 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33912 |
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| 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.