LEESBURG REGIONAL MEDICAL CENTER, INC. (NPI# 1154868693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154868693 |
| Entity Type | Organization |
| Organization Name | LEESBURG REGIONAL MEDICAL CENTER, INC. |
| Other Organization Name | LRMC SENIOR BEHAVIORAL HEALTH CENTER |
| Practice Address |
700 N Palmetto St Leesburg FL 34748-4419 |
| Mailing Address |
600 E Dixie Ave Attn: Alex Chang, Administration Leesburg FL 34748-5925 |
| Practice Telephone | 3523235007 |
| Mailing Telephone | 3523234267 |
| Mailing Fax Number | 3523235039 |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2017-01-23 |
| Authorized Official Name | DIANE HARDEN (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3523235002 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| LRMC Senior Behavioral Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487144523 | Leesburg Regional Medical Center, Inc. | General Acute Care Hospital | 700 N Palmetto St, Leesburg, FL 34748-4419 | 2018-05-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LEESBURG REGIONAL MEDICAL CENTER, INC. | 600 E Dixie Ave, Leesburg, FL 34748-5925 |
| Street Address |
700 N PALMETTO ST |
| City | LEESBURG |
| State | FL |
| Zip Code | 34748-4419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518966126 | Juan Francisco Rios | Psychiatry & Neurology | 700 N Palmetto St, Leesburg, FL 34748-4419 | 2005-07-15 |
| 1225509151 | Ineabelle N/a Rios-rodriguez | Occupational Therapy Assistant | 700 N Palmetto St, Leesburg, FL 34748-4419 | 2018-12-17 |
| 1487144523 | Leesburg Regional Medical Center, Inc. | General Acute Care Hospital | 700 N Palmetto St, Leesburg, FL 34748-4419 | 2018-05-15 |
| 1770072936 | Janice Boleyn | Health Educator | 700 N Palmetto St, Leesburg, FL 34748-4419 | 2018-05-03 |
| 1174906580 | Allison Foley | Occupational Therapist | 700 N Palmetto St, Leesburg, FL 34748-4419 | 2015-07-02 |
| 1871906107 | Jessica Peterson | Psychiatry & Neurology | 700 N Palmetto St, Leesburg, FL 34748-4419 | 2014-06-04 |
| 1023433570 | Anna Gunter | Dietitian, Registered | 700 N Palmetto St, Leesburg, FL 34748-4419 | 2014-02-20 |
| 1326479452 | Ncrnc Inc. | Skilled Nursing Facility | 700 N Palmetto St, Leesburg, FL 34748-4419 | 2013-11-27 |
| 1871898619 | Caring Heart Rehabilitation and Nursing Center Inc. | Durable Medical Equipment & Medical Supplies | 700 N Palmetto St, Leesburg, FL 34748-4419 | 2011-01-25 |
| 1235469867 | Jamie Fox | Physical Therapist | 700 N Palmetto St, Leesburg, FL 34748-4419 | 2010-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437610243 | Ashley Shamsa Martin | Behavior Technician | 292 Bent Oak Ct, Leesburg, FL 34748 | 2019-03-26 |
| 1891278875 | Luis O Aponte Mendoza | Physician Assistant | 704 Doctors Ct., Suite 101, Leesburg, FL 34748 | 2018-09-14 |
| 1881197903 | Physician Associates LLC | Internal Medicine | 22316 Us Highway 27, Leesburg, FL 34748 | 2018-03-15 |
| 1184136145 | Infinite Support Services LLC | In Home Supportive Care | 129 Grove Ridge Circle, 104, Leesburg, FL 34748 | 2017-10-31 |
| 1619403037 | Massage and Wellness Care | Health Maintenance Organization | 1218 W. Dixie Ave, Suite A, Leesburg, FL 34748 | 2017-05-04 |
| 1497202675 | Prime Radiology of Leesburg Inc | Radiology | 600 N W Blvd, Suite E, Leesburg, FL 34748 | 2016-09-06 |
| 1023480332 | Juanita Elizabeth Simpson | Contractor | 1911 Harcourt Drive, Leesburg, FL 34748 | 2015-10-26 |
| 1467835900 | Serenity Choice Place, LLC | Community/Behavioral Health | 721 Balmoral Circle, Leesburg, FL 34748 | 2015-07-01 |
| 1356738397 | Touching Heart's Group Homes, LLC | Community/Behavioral Health | 31809 Sunpark Cir, Leesburg, FL 34748 | 2015-04-16 |
| 1386035269 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1103 N 14th Street, Leesburg, FL 34748 | 2015-02-12 |
| Find all providers in zip 34748 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285786228 | Inova Health Care Services | Psychiatric Unit | 224 Cornwall St Nw, Leesburg, VA 20176-2701 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760810550 | Vipsych Pllc | Psychiatric Unit | 5895 Lake Melrose Dr, Orlando, FL 32829-7690 | 2013-10-15 |
| 1154687382 | Lee Care, Inc. | Psychiatric Unit | 833 Eisenhower Blvd, Lehigh Acres, FL 33974-3603 | 2012-04-02 |
| 1932435187 | The Pavilion At Healthpark, LLC | Psychiatric Unit | 9241 Park Royal Drive, Ft. Myers, FL 33908 | 2009-10-22 |
| 1952634644 | Kareen Aristide | Psychiatric Unit | 851 Nw 151st St, Miami, FL 33169-6103 | 2009-09-12 |
| 1659493476 | University of Miami Hospital and Clinics | Psychiatric Unit | 1475 Nw 12th Ave # C-023a, Miami, FL 33136-1002 | 2007-04-04 |
| 1467527358 | Tania M. Holly | Psychiatric Unit | Uf, Department of Psychiatry 1600 Sw Archer Road, Gainesville, FL 32610 | 2006-11-24 |
| 1457448037 | Baptist Hospital Inc. | Psychiatric Unit | 1101 W Moreno St, Pensacola, FL 32501-2317 | 2006-10-06 |
| 1265529887 | Memorial Hospital West Volusia Inc | Psychiatric Unit | 701 W. Plymouth Avenue, Deland, FL 32720-3236 | 2006-10-06 |
| 1033211180 | Adventist Health System-sunbelt Inc | Psychiatric Unit | 1210 Us 27 N, Lake Placid, FL 33852-7948 | 2006-09-01 |
| 1063422327 | Springbrook Hospital | Psychiatric Unit | 7007 Grove Rd, Brooksville, FL 34609-8610 | 2006-08-09 |
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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.