MEDICANA NURSING & REHAB (NPI# 1538596507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538596507 |
| Entity Type | Organization |
| Organization Name | MEDICANA NURSING & REHAB |
| Practice Address |
1710 Lake Worth Rd Lake Worth FL 33460-3627 |
| Practice Telephone | 5615825331 |
| Practice Fax Number | 5615829647 |
| Mailing Telephone | 5615825331 |
| Mailing Fax Number | 5615829647 |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2013-10-04 |
| Authorized Official Name | KATHRYN BEHBOUDI (HUMAN RESOURCES MANAGER) |
| Authorized Official Telephone | 5615825331 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | SNF1338096 | FL | Nursing & Custodial Care Facilities |
| Street Address |
1710 LAKE WORTH RD |
| City | LAKE WORTH |
| State | FL |
| Zip Code | 33460-3627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609863307 | Sovereign Healthcare of Medicana, LLC | Skilled Nursing Facility | 1710 Lake Worth Rd, Lake Worth, FL 33460-3627 | 2005-09-29 |
| 1245689835 | Atta & Zaas. LLC | Family Medicine | 1710 Lake Worth Rd, Lake Worth, FL 33460-3627 | 2016-06-06 |
| 1942637343 | Patricia Tendai Dhliwayo-kwangwari | Registered Nurse | 1710 Lake Worth Rd, Lake Worth, FL 33460-3627 | 2013-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265069694 | Soma Medical Center, P.a. | Internal Medicine | 330 South Dixie Hway, Lake Worth, FL 33460 | 2020-03-25 |
| 1659920072 | Dr G's Pharmacy, Inc | Pharmacy | 127 N Dixie Highway, Lake Worth, FL 33460 | 2019-09-09 |
| 1710542428 | Paul Robert Ahr | Psychologist | 702 N. Lakeside Drive, Lake Worth Beach, FL 33460 | 2019-05-08 |
| 1548732985 | Pickens Allison Gantt IIi | Acupuncturist | 1505 N Federal Hwy, Lake Worth, FL 33460 | 2018-12-26 |
| 1992297634 | Awilda Theodore | Homemaker | 824a Lake Ave, #309, Lake Worth, FL 33460 | 2018-05-30 |
| 1326562646 | Candy Marie Contrerez | Behavior Technician | 1306 S H St, Lake Worth, FL 33460 | 2017-07-28 |
| 1679003602 | Sylvia Grant | Registered Nurse | 919 12th Ave S, Lake Worth, FL 33460 | 2017-06-13 |
| 1720510662 | Jessica Montanez | Technician, Other | 1831 17th Court N, Lake Worth, FL 33460 | 2017-03-30 |
| 1629209630 | Emilia Isaza | Dentist | 325 S. Dixie Hwy, Suite #5, Lake Worth, FL 33460 | 2009-08-07 |
| 1174767909 | Cameron Bishop | Acupuncturist | 1505 North Federal Highway, Lake Worth, FL 33460 | 2009-04-23 |
| Find all providers in zip 33460 | ||||
| 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 |
|---|---|---|---|---|
| 1245571769 | Enesis Rehab Services | Skilled Nursing Facility | 10155 Foal Rd, Lake Worth, FL 33449-5446 | 2013-03-07 |
| 1013070002 | Lake Worth Enterprise LLC | Skilled Nursing Facility | 1201 12th Ave S, Lake Worth, FL 33460-5409 | 2006-12-19 |
| 1871670067 | Avante At Lake Worth, Inc. | Skilled Nursing Facility | 2501 N A St, Lake Worth, FL 33460-6013 | 2006-11-01 |
| 1316954720 | 4445 Management LLC | Skilled Nursing Facility | 4445 Pine Forest Dr, Lake Worth, FL 33463-4676 | 2006-08-01 |
| 1013922327 | Finnish American Rest Home, Inc | Skilled Nursing Facility | 1800 South Dr, Lake Worth, FL 33461 | 2006-07-29 |
| 1952377541 | Lake Worth Snf LLC | Skilled Nursing Facility | 1711 6th Ave S, Lake Worth, FL 33460-4333 | 2006-02-24 |
| 1659350114 | Hqm of Sutton Place, LLC | Skilled Nursing Facility | 4405 Lakewood Rd, Lake Worth, FL 33461-3414 | 2006-01-12 |
| 1609863307 | Sovereign Healthcare of Medicana, LLC | Skilled Nursing Facility | 1710 Lake Worth Rd, Lake Worth, FL 33460-3627 | 2005-09-29 |
| 1497741276 | Lake Lodge Nursing and Rehabilitation Lp | Skilled Nursing Facility | 3800 Marina Dr, Lake Worth, TX 76135-2835 | 2005-09-27 |
| 1194324368 | Lake Worth I Enterprises, LLC | Skilled Nursing Facility | 3800 Marina Dr, Lake Worth, TX 76135-2835 | 2020-10-20 |
| Find all providers in LAKE WORTH | ||||
| City | LAKE WORTH |
| Zip Code | 33460 |
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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.