PRIME HEALTHCARE SERVICES-LEHIGH ACRES LLC (NPI# 1194194720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194194720 |
| Entity Type | Organization |
| Organization Name | PRIME HEALTHCARE SERVICES-LEHIGH ACRES LLC |
| Practice Address |
1500 Lee Blvd Lehigh Acres FL 33936-4835 |
| Practice Telephone | 2393692101 |
| Practice Fax Number | 2393684510 |
| Mailing Telephone | 2393692101 |
| Mailing Fax Number | 2393684510 |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2015-09-24 |
| Authorized Official Name | CHRISTOPHER DOAN (CHIEF COMPLIANCE COUNSEL) |
| Authorized Official Telephone | 9092354307 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 010111700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922563485 | Prime Healthcare Services-lehigh Acres LLC | Psychiatric Unit | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2019-02-08 |
| Street Address |
1500 LEE BLVD |
| City | LEHIGH ACRES |
| State | FL |
| Zip Code | 33936-4835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558358143 | Charles J Havel Jr. | Emergency Medicine | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2005-09-29 |
| 1396345716 | Anita Dzelilovic | Social Worker | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2020-10-26 |
| 1881212322 | Kimberly L Harris | Registered Nurse | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2020-07-10 |
| 1710543640 | Small Hospital Innovations LLC | Emergency Medicine | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2019-05-16 |
| 1922563485 | Prime Healthcare Services-lehigh Acres LLC | Psychiatric Unit | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2019-02-08 |
| 1235611286 | Jacquelyn Boberg | Nurse Practitioner | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2018-09-05 |
| 1568994564 | Leonie Hernandez | Nurse Practitioner | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2017-03-29 |
| 1497128219 | Viking Emergency Physicians, LLC | Physician Assistant | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2015-11-02 |
| 1083086995 | Anemone Emergency Physicians, LLC | Physician Assistant | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2015-10-30 |
| 1023488202 | Lehigh Regional Medical Center | Pharmacy | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2015-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497241939 | Happy Learning, LLC | Clinic/Center | 1400 Kimdale St E Ste 2, Lehigh Acres, FL 33936 | 2018-07-09 |
| 1184112906 | Fenix Behavior Therapy Co. | Behavioral Analyst | 15 Roosevelt Ave, Lehigh Acres, FL 33936 | 2018-04-26 |
| 1548781586 | Cossette Maiquez | Nurse Practitioner | 448 Morgan Circle South, Lehigh Acres, FL 33936 | 2017-06-29 |
| 1124567714 | Sweet Home Adult Day Care, LLC. | Clinic/Center | 201 Plaza Drive Suite #102, Lehigh Acres, FL 33936 | 2017-02-16 |
| 1306106612 | Darry Dean Griebel | Veterinarian | 21 S. Homestead Rd, Lehigh Acres, FL 33936 | 2012-05-21 |
| 1538469838 | V-20 Medical Services Inc | General Practice | 1420-1422 Lee Blvd, Lehigh Acres, FL 33936 | 2010-11-02 |
| 1093808552 | Abdel R Aryan | Pharmacist | 57 Homestead Rd No., Lehigh Acres, FL 33936 | 2006-10-02 |
| 1265534663 | Steve G Hunter | Pharmacist | 415 Homestead Rd, Lehigh Acres, FL 33936 | 2006-09-05 |
| 1699702035 | Florence Faye Doman | Internal Medicine | Lehigh Regional Medical Center, 1500 Lee Blvd., Lehigh Acres, FL 33936 | 2006-06-28 |
| 1396732970 | Joseph Francis Avey | Family Medicine | 260 Beth Stacey Blvd, Suite 130, Lehigh Acres, FL 33936 | 2005-09-29 |
| Find all providers in zip 33936 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164813176 | Lehigh Hma LLC | General Acute Care Hospital | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2015-02-12 |
| 1316294069 | Emcare | General Acute Care Hospital | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2012-08-13 |
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|---|---|---|---|---|
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| 1013534445 | Sarasota Memorial Hospital | General Acute Care Hospital | 2600 Laurel Rd E, North Venice, FL 34275-3226 | 2020-07-01 |
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| 1184246894 | Zbeiro Corp | General Acute Care Hospital | 13952 Sw 52nd Ln, Miami, FL 33175-5166 | 2020-05-15 |
| 1962053728 | Optimum Care Medical Group | General Acute Care Hospital | 10520 Alcon Blue Dr, Riverview, FL 33578-4116 | 2019-09-24 |
| 1003465097 | Medical Center of Deltona, Inc. | General Acute Care Hospital | 3300 Halifax Crossings Blvd., Deltona, FL 32725 | 2019-09-11 |
| 1437652500 | Physicians On Call I Corp | General Acute Care Hospital | 10081 Pines Blvd Ste B, Pembroke Pines, FL 33024-6171 | 2018-03-14 |
| 1396272589 | Sacred Heart Hospital | General Acute Care Hospital | 2552 Carmel Heights Rd, Pensacola, FL 32504 | 2017-05-18 |
| 1659803435 | Palmetto General Hosptial | General Acute Care Hospital | 2001 West 68th St, Suite 202, Hialeah, FL 33016 | 2017-03-30 |
| Find all providers with the same taxonomy | ||||
| City | LEHIGH ACRES |
| Zip Code | 33936 |
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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.