WILLISTON FACILITY INC (NPI# 1346627031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346627031 |
| Entity Type | Organization |
| Organization Name | WILLISTON FACILITY INC |
| Other Organization Name | WILLISTON CARE CENTER |
| Practice Address |
300 Nw 1st Ave Williston FL 32696-2006 |
| Mailing Address |
4302 Hollywood Blvd #369 Hollywood FL 33021-6635 |
| Practice Telephone | 3525283561 |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2015-05-06 |
| Authorized Official Name | MR. MICHAEL BLEICH (AUTHORIZED REPRESENTATIVE) |
| Authorized Official Telephone | 8456418314 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | SNF1381096 | FL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Williston Care Center | Doing Business As Name - Organization |
| Street Address |
300 NW 1ST AVE |
| City | WILLISTON |
| State | FL |
| Zip Code | 32696-2006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811932015 | Williston Health Care Center, LLC | Skilled Nursing Facility | 300 Nw 1st Ave, Williston, FL 32696-2006 | 2006-06-19 |
| 1952712713 | Cns Holding Company LLC | Clinic/Center | 300 Nw 1st Ave, Williston, FL 32696-2006 | 2014-05-15 |
| 1538435375 | Williston Rural Health and Wellness Clinic LLC | Clinic/Center | 300 Nw 1st Ave, Williston, FL 32696-2006 | 2012-03-27 |
| 1316070857 | Patricia Ann Perkins | Physical Therapist | 300 Nw 1st Ave, Williston, FL 32696-2006 | 2007-03-13 |
| 1053429266 | Williston Rehabilitation and Nursing Center LLC | Durable Medical Equipment & Medical Supplies | 300 Nw 1st Ave, Williston, FL 32696-2006 | 2006-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962060939 | Quick Care Med LLC | Non-Pharmacy Dispensing Site | 517 W Noble Ave, Williston, FL 32696 | 2019-06-04 |
| 1346770930 | Michelle Yvette Dempsey | Home Health Aide | 931 Ne 207th Ave, Williston, FL 32696 | 2017-06-15 |
| 1801157185 | Pratibha Lumb | Family Medicine | 630 N. Main Street, Williston, FL 32696 | 2012-06-04 |
| 1821261306 | Raymond T Webber | Dentist | 610 Sw 1st Ave, Williston, FL 32696 | 2008-04-07 |
| 1003912635 | Jeremie Joseph Young | General Practice | 125 Sw 7th Street, Williston, FL 32696 | 2006-09-14 |
| 1073514543 | Kolli Prabhakara Reddy | Family Medicine | 520 Sw 5th Ave, Williston, FL 32696 | 2005-08-09 |
| 1578584884 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 727 W Noble Ave, Williston, FL 32696-1515 | 2006-07-21 |
| 1841631249 | Lawrence C Rush Jr. | Pharmacist | 727 W Noble Ave, Williston, FL 32696-1515 | 2013-07-13 |
| 1952401648 | Teresa Sever | Pharmacist | 727 W Noble Ave, Williston, FL 32696-1515 | 2006-09-23 |
| 1497060784 | Priscilla Smith | Social Worker | 18990 Ne 49th St, Williston, FL 32696-1555 | 2010-08-11 |
| Find all providers in zip 32696 | ||||
| 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 |
|---|---|---|---|---|
| 1811932015 | Williston Health Care Center, LLC | Skilled Nursing Facility | 300 Nw 1st Ave, Williston, FL 32696-2006 | 2006-06-19 |
| 1750379442 | Williston Healthcare and Rehab, LLC | Skilled Nursing Facility | 5721 Springfield Rd, Williston, SC 29853-1917 | 2005-10-07 |
| 1306830427 | Bethel Lutheran Nursing & Rehabilitation Center | Skilled Nursing Facility | 1515 2nd Ave W, Williston, ND 58801-4108 | 2005-09-02 |
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| 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 |
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| 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 | ||||
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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.