CARLTON SHORES NH LLC (NPI# 1588986368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588986368 |
| Entity Type | Organization |
| Organization Name | CARLTON SHORES NH LLC |
| Other Organization Name | CARLTON SHORES HEALTH AND REHABILITATION CENTER |
| Practice Address |
1350 S Nova Rd Daytona Beach FL 32114-5812 |
| Practice Telephone | 3862585544 |
| Practice Fax Number | 3862555623 |
| Mailing Telephone | 3862585544 |
| Mailing Fax Number | 3862555623 |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2011-06-20 |
| Authorized Official Name | MR. WILLIAM P MANDO (CFO) |
| Authorized Official Telephone | 8136359500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | 6110 | FL | Nursing & Custodial Care Facilities |
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| Y | 314000000X | Skilled Nursing Facility | 002213800 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 002213800 | 05 |
| Other Name | Type Code |
|---|---|
| Carlton Shores Health and Rehabilitation Center | Doing Business As Name - Organization |
| Street Address |
1350 S NOVA RD |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114-5812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770568917 | Ihs Acquisition No 103 Inc | Skilled Nursing Facility | 1350 S Nova Rd, Daytona Beach, FL 32114-5812 | 2005-12-09 |
| 1528131513 | Ihs Acquisition No 103 Inc | Assisted Living Facility | 1350 S Nova Rd, Daytona Beach, FL 32114-5812 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
| 1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
| 1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
| 1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
| 1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| Find all providers in zip 32114 | ||||
| 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 |
|---|---|---|---|---|
| 1619413572 | Sandalwood Operating LLC | Skilled Nursing Facility | 1001 S Beach St, Daytona Beach, FL 32114-6204 | 2017-01-16 |
| 1205881646 | Northport Health Services of Florida, LLC | Skilled Nursing Facility | 1055 3rd St, Daytona Beach, FL 32117-4101 | 2006-05-24 |
| 1720033616 | Catalina Health Care Associates LLC | Skilled Nursing Facility | 820 N Clyde Morris Blvd, Daytona Beach, FL 32117-4594 | 2006-05-23 |
| 1073582219 | Terrace of Daytona Beach LLC | Skilled Nursing Facility | 1704 Huntington Village Cir, Daytona Beach, FL 32114-1484 | 2006-03-17 |
| 1770568917 | Ihs Acquisition No 103 Inc | Skilled Nursing Facility | 1350 S Nova Rd, Daytona Beach, FL 32114-5812 | 2005-12-09 |
| 1659364438 | Health Center of Daytona Beach, Inc | Skilled Nursing Facility | 550 National Health Care Dr, Daytona Beach, FL 32114-1494 | 2005-08-26 |
| 1174515654 | Florida Department of Veterans Affairs | Skilled Nursing Facility | 1920 Mason Ave, Daytona Beach, FL 32117-5103 | 2005-08-19 |
| 1386636264 | Delta Health Group Inc | Skilled Nursing Facility | 324 Wilder Blvd, Daytona Beach, FL 32114-6025 | 2005-08-17 |
| 1255943494 | Seaside Center Operations LLC | Skilled Nursing Facility | 324 Wilder Blvd, Daytona Beach, FL 32114-6025 | 2020-08-19 |
| 1164034567 | Coastal Center Operations LLC | Skilled Nursing Facility | 820 N Clyde Morris Blvd, Daytona Beach, FL 32117-4594 | 2020-08-18 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
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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.