SPRING LAKE NC, LLC (NPI# 1538266945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538266945 |
| Entity Type | Organization |
| Organization Name | SPRING LAKE NC, LLC |
| Other Organization Name | SPRING LAKE REHAB. CENTER |
| Practice Address |
1540 6th St Nw Winter Haven FL 33881-2368 |
| Practice Telephone | 8632943055 |
| Practice Fax Number | 8632944210 |
| Mailing Telephone | 8632943055 |
| Mailing Fax Number | 8632944210 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. KIRK COPLEY (ADMINISTRATOR) |
| Authorized Official Telephone | 8632943055 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | SNF15110961 | FL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Spring Lake Rehab. Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366439952 | Spring Lake Nc, LLC | Skilled Nursing Facility | 1540 6th St Nw, Winter Haven, FL 33881-2368 | 2005-09-29 |
| Street Address |
1540 6TH ST NW |
| City | WINTER HAVEN |
| State | FL |
| Zip Code | 33881-2368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366439952 | Spring Lake Nc, LLC | Skilled Nursing Facility | 1540 6th St Nw, Winter Haven, FL 33881-2368 | 2005-09-29 |
| 1699247494 | Marnelli Cempron Budlong | Physical Therapy Assistant | 1540 6th St Nw, Winter Haven, FL 33881-2368 | 2018-12-19 |
| 1811425713 | Leo Hurtado | Physical Therapy Assistant | 1540 6th St Nw, Winter Haven, FL 33881-2368 | 2017-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114534476 | Ctc's Heart of Caring, Inc | In Home Supportive Care | 2995 Eagle Nest View Drive, Winter Haven, FL 33881 | 2020-09-29 |
| 1356813869 | Michael Thomas Wiernicki | Dentist | 1074 Spring Lake Plaza, Winter Haven, FL 33881 | 2018-12-21 |
| 1659862423 | Patricia Pelt | Social Worker | 3073 Buckeye Point Dr, Winter Haven, FL 33881 | 2018-05-28 |
| 1952891244 | Ansley Health LLC | Home Health | 1502 6th Ct Ne, Winter Haven, FL 33881 | 2018-05-14 |
| 1346699261 | Yovanka Zapata | Specialist/Technologist, Other | 5856 Windrigde Dr., Winter Haven, FL 33881 | 2016-06-10 |
| 1720415599 | Villa Pharmacy LLC | Pharmacy | 105 Avenue R Nw, Winter Haven, FL 33881 | 2013-10-10 |
| 1992149397 | Nic 5 Spring Haven Leasing LLC | Assisted Living Facility | 1225 Nw Havendale Boulevard, Winter Haven, FL 33881 | 2013-04-29 |
| 1780938225 | Penelope Sturdevant | Nurse Practitioner | 2791 Lake Alfred Rd., Winter Haven, FL 33881 | 2012-11-06 |
| 1649548165 | Tim R Acree | Non-emergency Medical Transport (VAN) | 2 Eagles Nest, Winter Haven, FL 33881 | 2011-12-12 |
| 1285899419 | Adjustment and Awareness Counseling | Community/Behavioral Health | 243 3rd St Nw, Winter Haven, FL 33881 | 2008-07-28 |
| Find all providers in zip 33881 | ||||
| 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 |
|---|---|---|---|---|
| 1528361508 | Cheryle Joy Ultra | Skilled Nursing Facility | 1850 Crossroads Blvd, Winter Haven, FL 33881-8220 | 2010-12-13 |
| 1497985774 | Arlene Laroscain | Skilled Nursing Facility | 670 Hart Lake Dr, Winter Haven, FL 33884-4145 | 2009-07-21 |
| 1740419225 | Ivan Lopezllavore | Skilled Nursing Facility | 3011 Sabal Bend Dr Ne, Winter Haven, FL 33881-5108 | 2009-07-06 |
| 1164440103 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 1510 Cypress Gardens Boulevard, Winter Haven, FL 33884 | 2006-07-17 |
| 1902846736 | Op Winter Haven, Inc. | Skilled Nursing Facility | 2701 Lake Alfred Rd, Winter Haven, FL 33881-1432 | 2006-06-08 |
| 1518941582 | Brandywine Convalescent Center Inc | Skilled Nursing Facility | 1801 Lake Mariam Dr, Winter Haven, FL 33884-0927 | 2005-12-02 |
| 1366439952 | Spring Lake Nc, LLC | Skilled Nursing Facility | 1540 6th St Nw, Winter Haven, FL 33881-2368 | 2005-09-29 |
| 1730185976 | Sa-pg-winter Haven LLC | Skilled Nursing Facility | 1120 Cypress Gardens Blvd, Winter Haven, FL 33884-1919 | 2005-06-22 |
| 1558365270 | Senior Health-winter Haven, LLC | Skilled Nursing Facility | 202 Avenue O Ne, Winter Haven, FL 33881-2409 | 2005-06-10 |
| 1437584489 | Palm Garden of Winter Haven LLC | Skilled Nursing Facility | 1120 Cypress Gardens Blvd, Winter Haven, FL 33884-1919 | 2013-09-10 |
| Find all providers in WINTER HAVEN | ||||
| City | WINTER HAVEN |
| Zip Code | 33881 |
Please comment or provide details below to improve the information on SPRING LAKE NC, LLC.
| 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.