M-K OF HAINES CITY L L C (NPI# 1154328102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154328102 |
| Entity Type | Organization |
| Organization Name | M-K OF HAINES CITY L L C |
| Practice Address |
409 S 10th St Haines City FL 33844-5603 |
| Practice Telephone | 8634228656 |
| Practice Fax Number | 8634228008 |
| Mailing Telephone | 8634228656 |
| Mailing Fax Number | 8634228008 |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2009-03-19 |
| Authorized Official Name | MR. TOM GLASS (ADMINISTRATOR) |
| Authorized Official Telephone | 8634228656 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | SNF1190095 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 022434100 | 05 |
| Street Address |
409 S 10TH ST |
| City | HAINES CITY |
| State | FL |
| Zip Code | 33844-5603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518528520 | Haines City Rehab, LLC | Skilled Nursing Facility | 409 S 10th St, Haines City, FL 33844-5603 | 2019-06-21 |
| 1962627828 | Bonita Lynn Walter | Physical Therapist | 409 S 10th St, Haines City, FL 33844-5603 | 2007-04-16 |
| 1437373826 | Carolyn Raye Mccullough | Occupational Therapy Assistant | 409 S 10th St, Haines City, FL 33844-5603 | 2007-04-13 |
| 1306060363 | William T Rigby | Physical Therapy Assistant | 409 S 10th St, Haines City, FL 33844-5603 | 2007-04-12 |
| 1154545184 | Marisell Albert | Physical Therapy Assistant | 409 S 10th St, Haines City, FL 33844-5603 | 2007-04-12 |
| 1538382965 | Candace C. Deiling | Occupational Therapy Assistant | 409 S 10th St, Haines City, FL 33844-5603 | 2007-04-11 |
| 1386867737 | Ivette Garcia | Occupational Therapist | 409 S 10th St, Haines City, FL 33844-5603 | 2007-04-11 |
| 1447473855 | Barbara Webb | Physical Therapy Assistant | 409 S 10th St, Haines City, FL 33844-5603 | 2007-04-11 |
| 1538281795 | Natalie Carol Mundy | Speech-Language Pathologist | 409 S 10th St, Haines City, FL 33844-5603 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134608342 | Patricia Vogl | Counselor | 360 S. 10th Street, Suite A, Haines City, FL 33844 | 2018-08-08 |
| 1639657257 | Jessica Herring | Physical Therapist | 35902 Us-27, Haines City, FL 33844 | 2018-08-06 |
| 1366896482 | Jovita Moise-brown | Custodial Care Facility | 2411 Dorado Ave, Haines City, FL 33844 | 2016-04-14 |
| 1730564170 | Maria Dolores Jimenez | Social Worker | 9024 Orange Blossom Loop, Haines City, FL 33844 | 2015-07-28 |
| 1346565819 | Elaine Carol Weinstein | Respiratory Therapist, Registered | 330 10th Street South, Haines City, FL 33844 | 2010-03-29 |
| 1194999813 | Janice Ramos Colon | General Practice | 502 E Hinson Ave, Haines City, FL 33844 | 2008-04-14 |
| 1225151913 | Erika Selga Grimes | Specialist/Technologist | 262 Paradise Island Dr, Haines City, FL 33844 | 2007-04-09 |
| 1912034265 | Xtra Discount Drugs Hc | Pharmacy | 401 East Hinson Ave, Haines City, FL 33844 | 2007-02-27 |
| 1689727562 | Sports and Orthopedic Rehabilitation Services Inc | Clinic/Center | 19 North 6th Street, Suite A, Haines City, FL 33844 | 2007-01-22 |
| 1194898841 | Jeffrey S Smith | Chiropractor | 101 S 10th Street, Haines City, FL 33844 | 2006-11-17 |
| Find all providers in zip 33844 | ||||
| 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 |
|---|---|---|---|---|
| 1518528520 | Haines City Rehab, LLC | Skilled Nursing Facility | 409 S 10th St, Haines City, FL 33844-5603 | 2019-06-21 |
| 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 | ||||
| City | HAINES CITY |
| Zip Code | 33844 |
Please comment or provide details below to improve the information on M-K OF HAINES CITY L L C.
| 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.