WEST FLORIDA - PPH, LLC (NPI# 1629410998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629410998 |
| Entity Type | Organization |
| Organization Name | WEST FLORIDA - PPH, LLC |
| Other Organization Name | PALMS OF PASADENA HOSPITAL |
| Practice Address |
1501 Pasadena Ave S South Pasadena FL 33707-3717 |
| Practice Telephone | 7273811000 |
| Mailing Telephone | 7273811000 |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2014-09-08 |
| Authorized Official Name | SHARON WEEMS (CFO) |
| Authorized Official Telephone | 7273417575 |
| Is Organization Subpart | Y |
| Parent Organization Name | WEST FLORIDA - PPH, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Palms of Pasadena Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437591708 | West Florida - Pph, LLC | General Acute Care Hospital | 1501 Pasadena Ave S, South Pasadena, FL 33707-3717 | 2013-07-26 |
| Street Address |
1501 PASADENA AVE S |
| City | SOUTH PASADENA |
| State | FL |
| Zip Code | 33707-3717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437154754 | John D Kepler | Anesthesiology | 1501 Pasadena Ave S, South Pasadena, FL 33707-3717 | 2005-06-14 |
| 1063043388 | Katelyn Dalto | Nurse Anesthetist, Certified Registered | 1501 Pasadena Ave S, South Pasadena, FL 33707-3717 | 2020-01-27 |
| 1508418740 | Ashley Brooke Moore | Nurse Practitioner | 1501 Pasadena Ave S, South Pasadena, FL 33707-3717 | 2019-07-09 |
| 1669970133 | Adam Christopher Major | Nurse Practitioner | 1501 Pasadena Ave S, South Pasadena, FL 33707-3717 | 2018-01-30 |
| 1316458482 | Autumn Breanne Hanson | Physical Therapist | 1501 Pasadena Ave S, South Pasadena, FL 33707-3717 | 2017-10-17 |
| 1396279121 | Latrena Tyree Gamble-harrell | Nurse Practitioner | 1501 Pasadena Ave S, South Pasadena, FL 33707-3717 | 2017-04-19 |
| 1841742186 | Robert Winer | Nurse Practitioner | 1501 Pasadena Ave S, South Pasadena, FL 33707-3717 | 2016-11-03 |
| 1205217379 | Sheridan Radiology Services of Central Florida, Inc. | Radiology | 1501 Pasadena Ave S, South Pasadena, FL 33707-3717 | 2015-06-15 |
| 1629459698 | Sheridan Radiology Services of South Florida, Inc. | Radiology | 1501 Pasadena Ave S, South Pasadena, FL 33707-3717 | 2015-06-15 |
| 1053792135 | Radiology Services of Jupiter Medical Specialists LLC | Radiology | 1501 Pasadena Ave S, South Pasadena, FL 33707-3717 | 2015-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013475466 | Baycare Urgent Care, LLC | Pharmacy | 900 Carillon Parkway Ste 106, St. Petersburg, FL 33707 | 2019-03-05 |
| 1245754449 | S Dunkelberger Do LLC | Family Medicine | 6801 Gulfport Blvd S., Suite 6, Sout Pasadena, FL 33707 | 2017-07-29 |
| 1497196828 | Montego Mckinnon Sr. | Pharmacy Technician | 1501 Pasadena Shores Dr, St. Petersburg, FL 33707 | 2013-07-15 |
| 1558551580 | Linda K Barchie | Massage Therapist | 7230 Central Avenue, St Petersburg, FL 33707 | 2007-07-26 |
| 1487790770 | Margaret Helen Young | Dentist | 509 Pasadena Avenue South, St Petersburg, FL 33707 | 2007-01-30 |
| 1063567279 | Jack M Hafer | Dentist | 2525 Pasadena Ave S, Ste E, Pasadena, FL 33707 | 2007-01-25 |
| 1740331305 | Suncoast O2 Systems Inc. | Durable Medical Equipment & Medical Supplies | 5213 1st Avenue S, St. Petersburg, FL 33707 | 2007-01-12 |
| 1902987902 | Demekisa Sidamo Davis | Acupuncturist | 5301 Gulfport Blvd, Gulfport, FL 33707 | 2006-10-17 |
| 1689767691 | Mark A. Roberts | Family Medicine | 1240 81st Street South, St. Petersburg, FL 33707 | 2006-10-02 |
| 1457443004 | Darla Marie Keyes | Physical Therapist | 2825 Seabreeze Dr, Gulfport, FL 33707 | 2006-09-29 |
| Find all providers in zip 33707 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407302045 | Broward Health | Rehabilitation Unit | 1800 Sw 5th Place, Ft. Lauderdale, FL 33309 | 2016-09-01 |
| 1063892586 | Jd Solutions Center, Corp | Rehabilitation Unit | 6955 Nw 77th Ave Ste 310, Miami, FL 33166-2846 | 2015-06-01 |
| 1588085542 | Vista Medical Reheb Center. Inc | Rehabilitation Unit | 4355 W 16 Ave Suite 212, Hialeah, FL 33012-7670 | 2013-12-18 |
| 1134556988 | Exceptional Care Medical Group Corp | Rehabilitation Unit | 4355 W 16th Ave Ste 201, Hialeah, FL 33012-7667 | 2013-10-10 |
| 1033462254 | B&c Rehabilitation Center Inc | Rehabilitation Unit | 1800 Sw 27th Ave Ste 403, Miami, FL 33145-2400 | 2012-10-25 |
| 1184998544 | Universal Therapeutics Inc | Rehabilitation Unit | 6501 Nw 36th St Ste 411, Virginia Gardens, FL 33166-6964 | 2012-03-02 |
| 1518239185 | Light Rehabilitation Center, Inc | Rehabilitation Unit | 3060 Jog Rd, Greenacres, FL 33467-2052 | 2012-01-29 |
| 1215215405 | Eternal Beauty Corp | Rehabilitation Unit | 2794 W 68th St, Suite 103, Hialeah, FL 33016-5407 | 2011-07-22 |
| 1245521079 | Military Trail Rehab & Therapy Center | Rehabilitation Unit | 925 S Military Trl, Suite D6, West Palm Beach, FL 33415-3977 | 2011-04-27 |
| 1629388947 | Florida Rehabilitation Medical Center, Inc | Rehabilitation Unit | 1926 10th Ave N Ste 103, Lake Worth, FL 33461-3300 | 2010-10-20 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH PASADENA |
| Zip Code | 33707 |
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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.