PALM GARDEN OF CLEARWATER LLC (NPI# 1457786410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457786410 |
| Entity Type | Organization |
| Organization Name | PALM GARDEN OF CLEARWATER LLC |
| Other Organization Name | PALM GARDEN OF CLEARWATER |
| Practice Address |
3480 N Mcmullen Booth Rd Clearwater FL 33761-1421 |
| Mailing Address |
2033 Main St Suite 302 Sarasota FL 34237-6056 |
| Practice Telephone | 7277866697 |
| Practice Fax Number | 7277810516 |
| Mailing Telephone | 9419529411 |
| Mailing Fax Number | 9419529331 |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2013-12-04 |
| Authorized Official Name | MORRIS H. MILLER (AUTHORIZED REPRESENTATIVE) |
| Authorized Official Telephone | 9419529411 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1407096 | FL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Palm Garden of Clearwater | Doing Business As Name - Organization |
| Street Address |
3480 N MCMULLEN BOOTH RD |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33761-1421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750387965 | Sa-pg-clearwater LLC | Skilled Nursing Facility | 3480 N Mcmullen Booth Rd, Clearwater, FL 33761-1421 | 2005-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184210 | Sandra Shanice Campisi | Behavior Technician | 29228 Us-19 N, Clearwater, FL 33761 | 2020-11-02 |
| 1659838449 | Branden Kleehammer | Occupational Therapy Assistant | 6941 300th Ave N, Clearwater, FL 33761 | 2019-02-27 |
| 1063901403 | Sheleaha C Egly I | Behavior Technician | 29288 Us Highway 19 N, Clearwater, FL 33761 | 2018-05-01 |
| 1760979629 | Melissa Irene Valentine | Social Worker | 6997 300th Ave North, Clearwater, FL 33761 | 2018-04-17 |
| 1871011049 | Maria's Adult Day Care Center | Clinic/Center | 26224 Us Highway 19 N., Clearwater, FL 33761 | 2017-09-07 |
| 1962933739 | Robert Hudson | Occupational Therapist | 3463 Northridge Dr, Clearwater, FL 33761 | 2017-03-23 |
| 1366985582 | Brandon Chad Brown | Physician Assistant | 29277 Hwy 19 North, Clearwater, FL 33761 | 2016-11-19 |
| 1730575606 | Layne S Winker | Physician Assistant | 26812 Us 19 N # 19, Clearwater, FL 33761 | 2015-04-08 |
| 1407254907 | M Christina Memoli Od Pa | Optometrist | 27901 Us 19 N, Clearwater, FL 33761 | 2014-12-15 |
| 1952729774 | Gina Pietras Spohn | Dermatology | 3165 N Mcmullen Booth Rd Bldg B, Clearwater, FL 33761 | 2014-03-29 |
| Find all providers in zip 33761 | ||||
| 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 |
|---|---|---|---|---|
| 1336648906 | Harbourwood Facility Inc | Skilled Nursing Facility | 549 Sky Harbor Dr # 31, Clearwater, FL 33759-3930 | 2018-02-08 |
| 1760728240 | Drlmhendersonllc | Skilled Nursing Facility | 28870 Us Highway 19 N Ste 300, Clearwater, FL 33761-4328 | 2013-01-02 |
| 1174868509 | Red River Rehabilitation | Skilled Nursing Facility | 549 Sky Harbor Dr, Bldg 31, Clearwater, FL 33759 | 2012-12-12 |
| 1336485762 | Red River Rehabilitation | Skilled Nursing Facility | 549 Sky Harbor Drive, Clearwater, FL 33759 | 2012-12-12 |
| 1861523086 | Lighthouse Rehabilitation LLC | Skilled Nursing Facility | Clearwater Retirement Community, 620 East Wood Street, Clearwater, KS 67026 | 2007-03-08 |
| 1801810551 | 1980 Sunset Point Road LLC | Skilled Nursing Facility | 1980 Sunset Point Rd, Clearwater, FL 33765-1132 | 2006-07-26 |
| 1912924952 | Sylvan Health Systems LLC | Skilled Nursing Facility | 2770 Regency Oaks Blvd, Clearwater, FL 33759-1509 | 2006-07-16 |
| 1184667941 | Westchester Gardens Limited Partnership | Skilled Nursing Facility | 3301 N Mcmullen Booth Rd, Clearwater, FL 33761-2014 | 2006-06-13 |
| 1407819246 | Clearwater Retirement Community Inc. | Skilled Nursing Facility | 620 E Wood St, Clearwater, KS 67026-9757 | 2006-04-11 |
| 1588630172 | Clearwater Snf LLC | Skilled Nursing Facility | 401 Fairwood Ave, Clearwater, FL 33759-3134 | 2006-02-24 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33761 |
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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.