LIFE CARE CENTERS OF AMERICA, INC. (NPI# 1235155680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235155680 |
Entity Type | Organization |
Organization Name | LIFE CARE CENTERS OF AMERICA, INC. |
Other Organization Name | LIFE CARE CENTER AT WELLS CROSSING |
Practice Address |
355 Crossing Blvd Orange Park FL 32073-2860 |
Mailing Address |
3001 Keith St Nw Cleveland TN 37312-3713 |
Practice Telephone | 9042641950 |
Practice Fax Number | 9042646574 |
Mailing Telephone | 4234735751 |
Mailing Fax Number | 4233398342 |
Enumeration Date | 2006-07-15 |
Last Update Date | 2017-12-28 |
Authorized Official Name | CINDY S CROSS (ASSISTANT SECRETARY) |
Authorized Official Telephone | 4234735867 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | SNF130470972 | FL | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 021316100 | 05 |
Other Name | Type Code |
---|---|
Life Care Center at Wells Crossing | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750448437 | Life Care Centers of America, Inc. | Respite Care | 1625 Carr St, Lakewood, CO 80214-5926 | 2007-01-02 |
1083771679 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 1990 W Loucks St, Sheridan, WY 82801-4500 | 2007-01-02 |
1467540070 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 4041 S Poplar St, Casper, WY 82601-5928 | 2006-10-10 |
1467461103 | Life Care Centers of America, Inc. | Respite Care | 530 W 16th St, Salida, CO 81201-2240 | 2006-08-05 |
1164440103 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 1510 Cypress Gardens Boulevard, Winter Haven, FL 33884 | 2006-07-17 |
1356367700 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 8104 Tuttle Ave, Sarasota, FL 34243-2885 | 2006-07-15 |
1497771836 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 3720 Se Jennings Rd, Port St Lucie, FL 34952-7701 | 2006-07-15 |
1417973389 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 2800 Sw 41st St, Ocala, FL 34474-4454 | 2006-07-14 |
1427083799 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 501 W Economy Rd, Morristown, TN 37814-3222 | 2006-07-12 |
1093749939 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 165 Coffey Ln, Rutledge, TN 37861-3201 | 2006-07-10 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | LIFE CARE CENTERS OF AMERICA, INC. | 3570 Keith St Nw, Cleveland, TN 37312 |
Connecticut Business Registrations | LIFE CARE CENTERS OF AMERICA, INC. | 114 South Main St, Bel Air, MD 21014 |
Washington State Corporations | LIFE CARE CENTERS OF AMERICA, INC. | 3570 Keith St Nw, Cleveland, TN 37312-4309 |
Oregon Corporations, Companies and Business Names | LIFE CARE CENTERS OF AMERICA, INC. | 3570 Keith Street Nw, Cleveland, TN 37311 |
Massachusetts Corporations | LIFE CARE CENTERS OF AMERICA, INC. | 3570 Keith St.,n.w., Cleveland, TN 37312 |
Street Address |
355 CROSSING BLVD |
City | ORANGE PARK |
State | FL |
Zip Code | 32073-2860 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
1962028688 | Esra Sari | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 | 2020-06-18 |
1104441146 | Zeshan Tariq Malik | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 | 2020-06-16 |
1902421894 | Ameer Hamza | Student in an Organized Health Care Education/Training Program | 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 | 2020-06-16 |
1497378103 | Fawad Ahmed Rashid | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 | 2020-05-28 |
1477174985 | Hannan Asghar | Student in an Organized Health Care Education/Training Program | Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 | 2020-05-06 |
1902427156 | Emmanuel Iyanuloluwa Morakinyo | Student in an Organized Health Care Education/Training Program | 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 | 2020-04-29 |
1437799327 | Dalande Leger | Behavior Technician | 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 | 2020-01-08 |
1215598313 | Mohammad Harisullah Khan | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 | 2019-06-28 |
1558927970 | Preetha Kamath | Student in an Organized Health Care Education/Training Program | Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 | 2019-05-10 |
Find all providers in zip 32073 |
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 |
---|---|---|---|---|
1306036488 | Lp Orange Park LLC | Skilled Nursing Facility | 2029 Professional Center Dr, Orange Park, FL 32073-4461 | 2007-07-26 |
1831311398 | Moosehaven Inc | Skilled Nursing Facility | 1701 Park Avenue, Orange Park, FL 32073 | 2007-05-03 |
1609953215 | Clay County Medical Investors, LLC | Skilled Nursing Facility | 2145 Kingsley Ave, Orange Park, FL 32073-5151 | 2006-11-01 |
1184665515 | Tandem Health Care of Orange Park, Inc. | Skilled Nursing Facility | 1215 Kingsley Ave, Orange Park, FL 32073-4631 | 2006-06-09 |
1861449258 | Heartland of Orange Park Fl LLC | Skilled Nursing Facility | 570 Wells Rd, Orange Park, FL 32073-2999 | 2006-05-30 |
1205805421 | Orange Park Extended Care LLC | Skilled Nursing Facility | 1125 Fleming Plantation Blvd, Orange Park, FL 32003-3389 | 2006-03-17 |
1174593305 | Hqm of Orange Park, LLC | Skilled Nursing Facility | 2029 Professional Center Drive, Orange Park, FL 32073 | 2006-01-23 |
1629053962 | Sv - Jupiter Properties Inc | Skilled Nursing Facility | 833 Kingsley Ave, Orange Park, FL 32073-4701 | 2005-12-09 |
1285182659 | Florida Pain Specialists Pllc | Skilled Nursing Facility | 1895 Kingsley Ave Ste 903, Orange Park, FL 32073-4410 | 2016-09-14 |
1023422896 | Isle Health Nh LLC | Skilled Nursing Facility | 1125 Fleming Plantation Blvd, Orange Park, FL 32003-3389 | 2014-06-19 |
Find all providers in ORANGE PARK |
City | ORANGE PARK |
Zip Code | 32073 |
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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.