PLANTATION KEY CONVALESCENT CENTER INC (NPI# 1376580712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376580712 |
| Entity Type | Organization |
| Organization Name | PLANTATION KEY CONVALESCENT CENTER INC |
| Other Organization Name | COMPREHENSIVE CARE CENTER OF PLANTATION KEY |
| Practice Address |
48 High Point Road Tavernier FL 33070 |
| Practice Telephone | 3058523021 |
| Practice Fax Number | 3052583721 |
| Mailing Telephone | 3058523021 |
| Mailing Fax Number | 3052583721 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2008-10-24 |
| Authorized Official Name | MR. ROBERT M. BECHT (PRESIDENT/OWNER) |
| Authorized Official Telephone | 6153749144 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | SNF1446096 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 020890600 | 05 |
| Other Name | Type Code |
|---|---|
| Comprehensive Care Center of Plantation Key | Doing Business As Name - Organization |
| Street Address |
48 HIGH POINT ROAD |
| City | TAVERNIER |
| State | FL |
| Zip Code | 33070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821603739 | Stella Del Mare, LLC | Internal Medicine | 90130 Old Highway, Tavernier, FL 33070 | 2020-09-09 |
| 1104324524 | Alliance Healthcare Network Inc | Case Management | 92330 Overseas Hwy Ste 106, Tavernier, FL 33070 | 2018-01-31 |
| 1821335639 | Jacqueline Gavin | Nurse Practitioner | 91500 Overseas Highway, Tavernier, FL 33070 | 2013-01-14 |
| 1417131913 | Keys Physician Services Pa | Internal Medicine | 91500 O/s Hwy, Mariners Hospital, Tavernier, FL 33070 | 2007-12-20 |
| 1558553479 | Baptist Health Medical Group Upper Keys, LLC | Specialist | 91550 Overseas Highway, Suite 215, Tavernier, FL 33070 | 2007-08-14 |
| 1003037532 | John L Izanec Dds Pa | Dentist | 91750 Overseas Hwy, Tavernier, FL 33070 | 2007-05-01 |
| 1669591277 | Erica R Lieberman -garrett | Chiropractor | 90290 Overseas Highway, Suite 110, Tavernier, FL 33070 | 2007-03-28 |
| 1356362727 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 92100 Overseas Hwy, Tavernier, FL 33070 | 2006-07-21 |
| 1669983680 | Epione Physician Services Inc | Voluntary or Charitable | 91500 Overseas Hwy, Tavernier, FL 33070 | 2017-10-17 |
| 1396033841 | Jean Marie Pallas Santaguida | Nurse Practitioner | 91500 Overseas Hwy, Mariners Hospital, Tavernier, FL 33070 | 2011-07-19 |
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| 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 |
|---|---|---|---|---|
| 1609360544 | Crystal Health and Rehab Center LLC | Skilled Nursing Facility | 48 High Point Rd, Tavernier, FL 33070-2006 | 2018-06-14 |
| 1851761688 | Plantation Key Care and Rehabilitation Center LLC | Skilled Nursing Facility | 48 High Point Rd, Tavernier, FL 33070-2006 | 2015-10-06 |
| 1730483827 | Plantation Key Operating Company, LLC | Skilled Nursing Facility | 48 High Point Rd, Tavernier, FL 33070-2006 | 2011-01-04 |
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| 1720690027 | Brynwood Operations LLC | Skilled Nursing Facility | 1656 S Jefferson St, Monticello, FL 32344-1652 | 2020-08-18 |
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| 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 |
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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.