1240 PINEBROOK ROAD LLC


Address: 1240 Pinebrook Rd, Venice, FL 34285-6421
Phone: 9414886733

1240 PINEBROOK ROAD LLC (NPI# 1134143845) 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) 1134143845
Entity Type Organization
Organization Name 1240 PINEBROOK ROAD LLC
Other Organization Name PINEBROOK CARE AND REHABILITATION CENTER
Practice Address 1240 Pinebrook Rd
Venice
FL 34285-6421
Mailing Address 101 Sun Ave Ne
Compliance Department
Albuquerque
NM 87109-4373
Practice Telephone 9414886733
Practice Fax Number 9414847924
Mailing Telephone 5054685604
Mailing Fax Number 5054684681
Enumeration Date 2006-07-26
Last Update Date 2009-10-01
Authorized Official Name WILLIAM A MATHIES (PRESIDENT DIRECTOR)
Authorized Official Telephone 5058213355
Is Organization Subpart Y
Parent Organization Name SUNBRIDGE HEALTHCARE CORPORATION

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility SNF 14390962 FL Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
FL 025266200 05

Other Provider/Organization Names

Other Name Type Code
Pinebrook Care and Rehabilitation Center Doing Business As Name - Organization

Office Location

Street Address 1240 PINEBROOK RD
City VENICE
State FL
Zip Code 34285-6421

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558996033 Venice Fl Opco LLC Respite Care 1240 Pinebrook Rd, Venice, FL 34285-6421 2020-03-05
1912468703 Shelley Noella Adams I Occupational Therapy Assistant 1240 Pinebrook Rd, Venice, FL 34285-6421 2019-03-26
1225512411 Kayleigh Ott Speech-Language Pathologist 1240 Pinebrook Rd, Venice, FL 34285-6421 2018-09-24
1649763533 Rebecca Mayper Physical Therapy Assistant 1240 Pinebrook Rd, Venice, FL 34285-6421 2018-06-14
1275059271 Barry Wimbish Physical Therapist 1240 Pinebrook Rd, Venice, FL 34285-6421 2017-08-21
1063865681 Cameron Reinert Assisted Living Facility 1240 Pinebrook Rd, Venice, FL 34285-6421 2016-07-19
1952755852 David Osmond Specialist 1240 Pinebrook Rd, Venice, FL 34285-6421 2016-04-17
1013389568 Genesis Skilled Nursing Facility 1240 Pinebrook Rd, Pinebrook Center Rehab, Venice, FL 34285-6421 2015-10-23
1730596735 Jocelyn Delgado Speech-Language Pathologist 1240 Pinebrook Rd, Venice, FL 34285-6421 2014-07-22
1063839611 Genesis Eldercare Physician Services LLC Internal Medicine 1240 Pinebrook Rd, Venice, FL 34285 2014-03-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972139871 Safe Haven Counseling LLC Clinic/Center 333 S. Tamiami Trail, Suite 284, Venice, FL 34285 2020-03-23
1518445857 American Eagle Venice Island LLC Alzheimer Center (Dementia Center) 1200 Avenida Del Circo, Venice, FL 34285 2018-07-30
1851886915 Jafet Baxter Nurse Practitioner 333 South Tamiami Trail Suite 307, Venice, FL 34285 2018-06-29
1023538345 Mary Laurie Durable Medical Equipment & Medical Supplies 234 Tamiami Trail S, Venice, FL 34285 2017-06-27
1689121584 The Sky Family Ymca Inc. Health Educator 701 Center Rd, Venice, FL 34285 2016-09-08
1033576137 Broy Enterprises Inc. Durable Medical Equipment & Medical Supplies 1205 U.S. 41 Bypass South, Venice, FL 34285 2016-01-20
1629444013 George C Chamberlain Hearing Instrument Specialist 836 Pinebrook Rd Ste D5, Venice, FL 34285 2015-08-19
1801287123 Cory O'neel Pharmacist 1229 Us Highway 41 Byp S, Venice, FL 34285 2015-02-09
1831516418 Home Detox Inc Counselor 530 Us 41 Bypass So, Unit 12b, Venice, FL 34285 2014-03-21
1922440742 Lynn Zittel Occupational Therapist 841 Venetia Bay Blvd, Venice, FL 34285 2013-07-22
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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
1447327648 Prime Care One, LLC Skilled Nursing Facility 950 Pinebrook Rd, Venice, FL 34285-7147 2006-11-30
1316994809 Manor Care of Venice Fl LLC Skilled Nursing Facility 1450 E Venice Ave, Venice, FL 34292-3063 2006-05-28
1073569661 Heritage Health Care Associates LLC Skilled Nursing Facility 1026 Albee Farm Rd, Venice, FL 34285-6213 2006-05-25
1881681328 Southwest Florida Retirement Center Skilled Nursing Facility 910 Tamiami Trl S, Venice, FL 34285-3629 2005-09-30
1013389568 Genesis Skilled Nursing Facility 1240 Pinebrook Rd, Pinebrook Center Rehab, Venice, FL 34285-6421 2015-10-23
1477822112 1026 Albee Farm Road Operations LLC Skilled Nursing Facility 1026 Albee Farm Rd, Venice, FL 34285-6213 2011-12-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306444708 Center for Comprehensive Services, Inc. Skilled Nursing Facility 2411 Clement Rd, Lutz, FL 33549-5552 2020-10-16
1114530227 Jupiter Rehab and Health Center LLC Skilled Nursing Facility 650 Pioneer Rd # 5, Jupiter, FL 33458-8834 2020-08-28
1821601089 Wellington Rehab and Health Center, LLC Skilled Nursing Facility 10330 Nu Vista Ave, Wellington, FL 33414 2020-08-27
1043822349 Oaks of Kissimmee Operations LLC Skilled Nursing Facility 320 N. Mitchell St, Kissimmee, FL 34741-4447 2020-08-18
1720690027 Brynwood Operations LLC Skilled Nursing Facility 1656 S Jefferson St, Monticello, FL 32344-1652 2020-08-18
1326668120 Key West Nursing Home Propco LLC Skilled Nursing Facility 5860 College Road, Key West, FL 33040 2020-04-21
1740800655 Javara Troupe Skilled Nursing Facility 10043 Victory Gallop Loop, Ruskin, FL 33573-6744 2020-04-21
1578199303 First Coast Health Ventures, LLC Skilled Nursing Facility 15480 Max Leggett Parkway, Jacksonville, FL 32218 2020-03-12
1053944116 Pruitthealth - Southwood, LLC Skilled Nursing Facility 2301 Bluff Oak Way, Tallahassee, FL 32311-6161 2020-02-18
1992336895 Dolphin Pointe Health Care, LLC Skilled Nursing Facility 5355 Dolphin Point Rd., Jacksonville, FL 32211 2020-01-29
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Competitor

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City VENICE
Zip Code 34285

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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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