EXTENDED CARE PORTFOLIO FLORIDA TENANT, LLC (NPI# 1255763256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255763256 |
| Entity Type | Organization |
| Organization Name | EXTENDED CARE PORTFOLIO FLORIDA TENANT, LLC |
| Other Organization Name | PACIFICA SENIOR LIVING CARPENTER'S CREEK |
| Practice Address |
5918 N Davis Hwy Pensacola FL 32503-2050 |
| Mailing Address |
13770 58th St N Suite 312 Clearwater FL 33760-3759 |
| Practice Telephone | 5804778998 |
| Mailing Telephone | 7277263980 |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2013-08-01 |
| Authorized Official Name | NANCY PLATTEN (MANAGER) |
| Authorized Official Telephone | 8504778998 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Pacifica Senior Living Carpenter's Creek | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184062259 | Extended Care Portfolio Florida Tenant, LLC | Assisted Living Facility | 4760 S Jog Rd, Greenacres, FL 33467-5119 | 2013-06-11 |
| 1215191440 | Extended Care Portfolio Florida Tenant, LLC | Assisted Living Facility | 4760 Jog Rd, Greenacres, FL 33467-5119 | 2008-07-16 |
| 1891127080 | Extended Care Portfolio Florida Tenant, LLC | Assisted Living Facility | 620 Belleair Rd, Clearwater, FL 33756-2106 | 2013-07-30 |
| Street Address |
5918 N DAVIS HWY |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503-2050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346714995 | Krystle Leighann Holdaway | Physical Therapy Assistant | 5918 N Davis Hwy, Pensacola, FL 32503-2050 | 2019-01-16 |
| 1306168463 | Tlc Rehab Inc | Physical Therapist | 5918 N Davis Hwy, Pensacola, FL 32503-2050 | 2010-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727472 | Lauren Barrett Evans | Nurse Practitioner | 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1528666864 | Kelsey Christine Kvartek | Nurse Practitioner | 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1275011744 | Teresa T Jansen | Registered Nurse | 5051 Carpenters Creek Dr, Pensacola, FL 32503 | 2018-08-06 |
| 1639662729 | Florida Physical Therapy Services of Pensacola, LLC | Occupational Therapist | 428 Airport Blvd, Pensacola, FL 32503 | 2018-06-13 |
| 1922595123 | Touch of Love Home Health Care LLC | Home Health | 139 E Burgess Rd Ste B, Pensacola, FL 32503 | 2018-04-13 |
| 1770012106 | Amber Mcclellan | Occupational Therapist | 4551 North Davis Highway, Suite C, Pensacola, FL 32503 | 2017-06-08 |
| 1780123885 | Corinne Georgette-marie Carlson | Registered Nurse | 6809 White Oak Drive, Pensacola, FL 32503 | 2017-02-22 |
| 1538615232 | Kristin E Patton | Dietitian, Registered | 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 | 2016-09-01 |
| Find all providers in zip 32503 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821617333 | Shelton Manor Inc | Assisted Living Facility | 9700 Pensacola Blvd, Pensacola, FL 32534-1242 | 2020-04-14 |
| 1831660240 | The Rhema House | Assisted Living Facility | 2910 Michael Dr, Pensacola, FL 32505-3999 | 2018-12-10 |
| 1033619093 | Prisyco Manor LLC | Assisted Living Facility | 8061 Groveland Ave, Pensacola, FL 32534-3551 | 2018-02-16 |
| 1578989695 | Grandview Retirement Center | Assisted Living Facility | 1706 E Olive Rd, Pensacola, FL 32514-7553 | 2014-03-13 |
| 1679998389 | House of Honor, LLC | Assisted Living Facility | 8090 Tippin Ave, Pensacola, FL 32514-6357 | 2014-03-04 |
| 1235551672 | Ashley Leggett | Assisted Living Facility | 1030 Jojo Rd, Pensacola, FL 32514-3235 | 2014-01-18 |
| 1295082246 | Cooper-solice Inc Dba Asbury Place | Assisted Living Facility | 4916 Mobile Hwy, Pensacola, FL 32506-3230 | 2012-08-09 |
| 1619271525 | Northpointe Retirement Community | Assisted Living Facility | 5100 Northpointe Pkwy, Pensacola, FL 32514-7844 | 2011-01-06 |
| 1972807881 | Westpointe Retirement Community | Assisted Living Facility | 5101 Northpointe Pkwy, Pensacola, FL 32514-7846 | 2011-01-06 |
| 1528360906 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 8700 University Pkwy, Pensacola, FL 32514-4931 | 2010-11-17 |
| Find all providers in PENSACOLA | ||||
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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.