FI-EVERGREEN WOODS, LLC (NPI# 1487658043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487658043 |
Entity Type | Organization |
Organization Name | FI-EVERGREEN WOODS, LLC |
Other Organization Name | EVERGREEN WOODS HEALTH & REHAB CENTER |
Practice Address |
7045 Evergreen Woods Trl Spring Hill FL 34608-1306 |
Mailing Address |
1675 Palm Beach Lakes Blvd Suite 900 West Palm Beach FL 33401 |
Practice Telephone | 3525968371 |
Practice Fax Number | 3525968032 |
Mailing Telephone | 5618017600 |
Enumeration Date | 2005-06-10 |
Last Update Date | 2012-10-09 |
Authorized Official Name | HOWARD JAFFE (PRESIDENT) |
Authorized Official Telephone | 2153466454 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | SNF1146096 | FL | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 026389300 | 05 |
Other Name | Type Code |
---|---|
Evergreen Woods Health & Rehab Center | Doing Business As Name - Organization |
Street Address |
7045 EVERGREEN WOODS TRL |
City | SPRING HILL |
State | FL |
Zip Code | 34608-1306 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356948707 | Justin Galeno | Occupational Therapy Assistant | 7045 Evergreen Woods Trl, Spring Hill, FL 34608-1306 | 2020-10-07 |
1912504010 | Alisha Green | Occupational Therapy Assistant | 7045 Evergreen Woods Trl, Spring Hill, FL 34608-1306 | 2020-10-02 |
1760092381 | Lino Diaz Jr. | Physical Therapist | 7045 Evergreen Woods Trl, Spring Hill, FL 34608-1306 | 2020-08-07 |
1487283198 | Melissa Herbert | Physical Therapy Assistant | 7045 Evergreen Woods Trl, Spring Hill, FL 34608-1306 | 2020-04-04 |
1174156574 | Tiffany Shakeema Elam | Occupational Therapy Assistant | 7045 Evergreen Woods Trl, Spring Hill, FL 34608-1306 | 2020-02-14 |
1740812403 | Prichelle Morrison | Occupational Therapist | 7045 Evergreen Woods Trl, Spring Hill, FL 34608-1306 | 2020-02-10 |
1588296925 | Brandy Lewis | Occupational Therapy Assistant | 7045 Evergreen Woods Trl, Spring Hill, FL 34608-1306 | 2020-02-04 |
1104458595 | Nisiforos Demetriou | Physical Therapy Assistant | 7045 Evergreen Woods Trl, Spring Hill, FL 34608-1306 | 2020-02-04 |
1487292066 | Rhonda Ann Mcnamara | Physical Therapy Assistant | 7045 Evergreen Woods Trl, Spring Hill, FL 34608-1306 | 2019-12-14 |
1982266417 | Kailey Eisenmenger | Occupational Therapy Assistant | 7045 Evergreen Woods Trl, Spring Hill, FL 34608-1306 | 2019-07-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194227967 | Christina Lee O'connor | Nurse Anesthetist, Certified Registered | 10046 Hayward Rd, Spring Hill, FL 34608 | 2018-03-07 |
1003342114 | Kaitlyn Peters | Physical Therapy Assistant | 11236 Norvell Rd, Springhill, FL 34608 | 2017-05-10 |
1962855932 | Elizabeth Bair | Speech-Language Pathologist | 5136 Florentine Ct, Spring Hill, FL 34608 | 2016-07-14 |
1104209022 | Shirley Ann Malone | Home Health Aide | 2092 Landover Blvd, Spring Hill, FL 34608 | 2015-07-09 |
1508243155 | Ana Del Carmen Argueta | Pharmacist | 11092 Spring Hill Drive, Spring Hill, FL 34608 | 2015-05-04 |
1497151807 | Melissa Mayes | Occupational Therapist | 7045 Evergreen Trail, Spring Hill, FL 34608 | 2014-11-12 |
1194075218 | Stephanie S Andrews | Speech-Language Pathologist | 2939 Landover Blvd, Spring Hill, FL 34608 | 2012-09-17 |
1720317266 | Cezar Dungca Enriquez | Physical Therapist | 7030 Atria Evergreen Woods Trail, Spring Hill, FL 34608 | 2009-12-11 |
1922284363 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 5181 Pepper Street, Spring Hill, FL 34608 | 2008-01-16 |
1023187960 | Hoka Lisa Nyanda | Dermatology | 11021 Spring Hill Dr, Spring Hill, FL 34608 | 2006-11-07 |
Find all providers in zip 34608 |
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 |
---|---|---|---|---|
1639625254 | Emerald Spring Hill, Inc. | Skilled Nursing Facility | 2000 Reserve Boulevard, Spring Hill, TN 37174-2370 | 2016-09-01 |
1104878511 | Ggnsc Spring Hill LLC | Skilled Nursing Facility | 251 E Wilson St, Spring Hill, KS 66083-8713 | 2006-05-16 |
1386293371 | Spring Hill Operator, LLC | Skilled Nursing Facility | 251 E Wilson St, Spring Hill, KS 66083-8713 | 2019-09-11 |
1306393244 | Spring Hill Care and Rehabilitation Center, LLC | Skilled Nursing Facility | 251 E Wilson St, Spring Hill, KS 66083-8713 | 2016-09-08 |
NPI | Name | Taxonomy | Address | Enumeration |
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1306444708 | Center for Comprehensive Services, Inc. | Skilled Nursing Facility | 2411 Clement Rd, Lutz, FL 33549-5552 | 2020-10-16 |
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 |
1720690027 | Brynwood Operations LLC | Skilled Nursing Facility | 1656 S Jefferson St, Monticello, FL 32344-1652 | 2020-08-18 |
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 |
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City | SPRING HILL |
Zip Code | 34608 |
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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.