MONTICELLO HLTH MGMT LLC (NPI# 1407147614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407147614 |
| Entity Type | Organization |
| Organization Name | MONTICELLO HLTH MGMT LLC |
| Other Organization Name | CROSS LANDINGS HEALTH AND REHABILITATION CENTER |
| Practice Address |
1780 N Jefferson Hwy Monticello FL 32344-5536 |
| Mailing Address |
5000 N Ocean Blvd Suite 1104 Lauderdale By The Sea FL 33308-2929 |
| Practice Telephone | 8509972313 |
| Practice Fax Number | 8509970218 |
| Mailing Telephone | 4044569926 |
| Mailing Fax Number | 9543674564 |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2013-04-22 |
| Authorized Official Name | MARGARET HUDSON FERNANDEZ (CFO) |
| Authorized Official Telephone | 9543674563 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | FL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| cross landings health and rehabilitation center | Doing Business As Name - Organization |
| Street Address |
1780 N JEFFERSON HWY |
| City | MONTICELLO |
| State | FL |
| Zip Code | 32344-5536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396269197 | Cl Golden LLC | Skilled Nursing Facility | 1780 N Jefferson Hwy, Monticello, FL 32344-5536 | 2017-08-02 |
| 1508295130 | Cross Landings | Skilled Nursing Facility | 1780 N Jefferson Hwy, Monticello, FL 32344-5536 | 2013-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851875355 | Pedro Enrique Maseda | Physical Medicine & Rehabilitation | Brynwood Health Rehab, 1656 Jefferson Street, Monticello, FL 32344 | 2018-09-20 |
| 1821482142 | Krista L Mcmullen | Licensed Practical Nurse | 1255 West Washington Street, Monticello, FL 32344 | 2015-03-25 |
| 1861689994 | Ellen Hamilton | Social Worker | 5877 North Salt Road, Monticello, FL 32344 | 2007-10-03 |
| 1891898383 | Joseph C Dorn | Family Medicine | 193 Nursery Rd, Monticello, FL 32344 | 2006-09-07 |
| 1972569770 | Judy Ann Kleynen | Family Medicine | 1549 S. Jefferson Street, Monticello, FL 32344 | 2006-04-21 |
| 1770549545 | Wesley Douglas Scoles | Family Medicine | 1549 South Jefferson Steet, Monticello, FL 32344 | 2006-04-21 |
| 1396880654 | County of Jefferson Office of Clerk Circuit Court | Ambulance | 1456 S. Jefferson St, Monticello, FL 32344-0000 | 2007-02-21 |
| 1902047939 | True Blue Doulas, Inc | Community Health Worker | 680 W Halpin Rd, Monticello, FL 32344-0310 | 2009-03-21 |
| 1548860265 | Clinton Brad Wilson | Pharmacist | 650 Hiawatha Farms Rd, Monticello, FL 32344-0821 | 2020-10-30 |
| 1720590565 | Angela Decker Markley | Nurse Practitioner | 365 Holly Rd, Monticello, FL 32344-1011 | 2017-11-02 |
| Find all providers in zip 32344 | ||||
| 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 |
|---|---|---|---|---|
| 1720690027 | Brynwood Operations LLC | Skilled Nursing Facility | 1656 S Jefferson St, Monticello, FL 32344-1652 | 2020-08-18 |
| 1306165915 | Witham Memorial Hospital | Skilled Nursing Facility | 814 S 6th St, Monticello, IN 47960-8199 | 2010-05-21 |
| 1700896883 | Monticello Healthcare Center, LLC | Skilled Nursing Facility | 1052 Old Warren Rd, Monticello, AR 71655 | 2006-08-09 |
| 1366494510 | Ggnsc Monticello LLC | Skilled Nursing Facility | 1194 N Chester St, Monticello, AR 71655-4133 | 2006-05-16 |
| 1144278565 | Monticello Community Care Center LLC | Skilled Nursing Facility | 700 Jefferson St., Monticello, MS 39654-0398 | 2006-05-05 |
| 1649239492 | Monticello Nursing Home Company | Skilled Nursing Facility | 500 Pinehaven Dr, Monticello, IA 52310-2049 | 2006-03-21 |
| 1861489254 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1120 N Main St, Monticello, IN 47960 | 2005-09-30 |
| 1588657696 | Monticello-big Lake Community Hospital | Skilled Nursing Facility | 1104 E River St, Monticello, MN 55362-8762 | 2005-08-24 |
| 1679565253 | Delta Health Group Inc | Skilled Nursing Facility | 1656 S Jefferson, Monticello, FL 32344-1652 | 2005-08-18 |
| 1124029871 | Monticello Partnership Ltd | Skilled Nursing Facility | 1780 N Jefferson, Monticello, FL 32344-5536 | 2005-08-03 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 32344 |
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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.