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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | SNF 14390962 | FL | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 025266200 | 05 |
Other Name | Type Code |
---|---|
Pinebrook Care and Rehabilitation Center | Doing Business As Name - Organization |
Street Address |
1240 PINEBROOK RD |
City | VENICE |
State | FL |
Zip Code | 34285-6421 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 34285 |
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 |
---|---|---|---|---|
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 |
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 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on 1240 PINEBROOK ROAD LLC.
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.