611 SOUTH 13TH STREET OPERATIONS LLC (NPI# 1447529185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447529185 |
| Entity Type | Organization |
| Organization Name | 611 SOUTH 13TH STREET OPERATIONS LLC |
| Other Organization Name | FORT PIERCE HEALTH CARE |
| Practice Address |
611 S 13th St Fort Pierce FL 34950-4054 |
| Practice Telephone | 7724645262 |
| Practice Fax Number | 7724645022 |
| Mailing Telephone | 7724645262 |
| Mailing Fax Number | 7724645022 |
| Enumeration Date | 2011-12-27 |
| Last Update Date | 2020-04-27 |
| Authorized Official Name | KENNETH USSERY (VP) |
| Authorized Official Telephone | 4075711550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | SNF10040953 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 004386100 | 05 |
| Other Name | Type Code |
|---|---|
| Fort Pierce Health Care | Doing Business As Name - Organization |
| Street Address |
611 S 13TH ST |
| City | FORT PIERCE |
| State | FL |
| Zip Code | 34950-4054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730135716 | Fort Pierce Health Care Associates LLC | Skilled Nursing Facility | 611 S 13th St, Fort Pierce, FL 34950-4054 | 2006-05-25 |
| 1043869514 | Amy S Didier | Speech-Language Pathologist | 611 S 13th St, Fort Pierce, FL 34950-4054 | 2019-09-08 |
| 1437669785 | Krystal Archibald | Student in an Organized Health Care Education/Training Program | 611 S 13th St, Fort Pierce, FL 34950-4054 | 2017-10-01 |
| 1366987141 | Keely Everhart | Occupational Therapy Assistant | 611 S 13th St, Fort Pierce, FL 34950-4054 | 2017-01-03 |
| 1881043339 | Wesley Baltimore | Student in an Organized Health Care Education/Training Program | 611 S 13th St, Fort Pierce, FL 34950-4054 | 2016-06-06 |
| 1912353848 | Ralph Ciceron | Occupational Therapy Assistant | 611 S 13th St, Fort Pierce, FL 34950-4054 | 2016-05-10 |
| 1700256542 | Wakendy Seraphin | Physical Therapy Assistant | 611 S 13th St, Fort Pierce, FL 34950-4054 | 2015-10-06 |
| 1720468325 | Holly Brown | Speech-Language Pathologist | 611 S 13th St, Fort Pierce, FL 34950-4054 | 2015-06-09 |
| 1336560002 | Diane Purdy | Occupational Therapy Assistant | 611 S 13th St, Fort Pierce, FL 34950-4054 | 2013-12-26 |
| 1184052714 | Erin Kelley | Occupational Therapist | 611 S 13th St, Fort Pierce, FL 34950-4054 | 2013-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659853018 | New Day Counseling & Wellness, LLC | Clinic/Center | 130 S Indian River Drive Suite 202, Fort Pierce, FL 34950 | 2018-09-03 |
| 1548749351 | Jaber's Pharmacy, Inc. | Pharmacy | 2210 Orange Ave, Fort Pierce, FL 34950 | 2018-08-13 |
| 1386139699 | Pas Substance Abuse, Inc. | Substance Abuse Rehabilitation Facility | 2017 Avenue D, Fort Pierce, FL 34950 | 2018-06-28 |
| 1629573134 | Southeastern Dme LLC | Durable Medical Equipment & Medical Supplies | 200 S Indian River Dr Ste 300, Fort Pierce, FL 34950 | 2018-03-27 |
| 1962903666 | Serenity Dme LLC | Durable Medical Equipment & Medical Supplies | 111 N 2nd St Ste 101, Fort Pierce, FL 34950 | 2018-02-27 |
| 1417463068 | Ryan Nippes | Counselor | 1302 N Lawnwood Cr, Suite B, Fort Pierce, FL 34950 | 2017-12-19 |
| 1639685282 | Valencia Worrell | Counselor | 1302 N Lswnwood Cr, Suite B, Fort Pierce, FL 34950 | 2017-12-19 |
| 1194173153 | Angel French | Massage Therapist | 101 North Us1, Suite 117, Fort Pierce, FL 34950 | 2016-06-01 |
| 1780052951 | Alison Hess | Physician Assistant | 1700 S. 23rd St, Fort Pierce, FL 34950 | 2015-09-04 |
| 1629329784 | Dr. Rhaina A Smeds, Psyd Inc. | Psychologist | 100 Ave A, Ste 2d, Ft. Pierce, FL 34950 | 2012-09-28 |
| Find all providers in zip 34950 | ||||
| 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. |
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| 1770595738 | Abbiejean Russell Care Center, LLC | Skilled Nursing Facility | 700 S 29th St, Fort Pierce, FL 34947-3626 | 2006-08-11 |
| 1730135716 | Fort Pierce Health Care Associates LLC | Skilled Nursing Facility | 611 S 13th St, Fort Pierce, FL 34950-4054 | 2006-05-25 |
| 1245217926 | Integrated Health Services At Central Florida Inc | Skilled Nursing Facility | 703 S 29th St, Fort Pierce, FL 34947-3625 | 2005-12-23 |
| 1598381584 | Ft Pierce Fl Opco LLC | Skilled Nursing Facility | 700 S 29th St, Fort Pierce, FL 34947-3626 | 2020-06-25 |
| 1750872982 | Laurel Point Care Acquisition LLC | Skilled Nursing Facility | 703 S 29th St, Fort Pierce, FL 34947-3625 | 2018-05-23 |
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| 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 | ||||
| City | FORT PIERCE |
| Zip Code | 34950 |
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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.