PENNEY RETIREMENT COMMUNITY (NPI# 1700021599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700021599 |
| Entity Type | Organization |
| Organization Name | PENNEY RETIREMENT COMMUNITY |
| Practice Address |
2 Pavilion Place Penney Farms FL 32079 |
| Mailing Address |
3495 Hoffman Avenue Penney Farms FL 32079 |
| Practice Telephone | 9042848579 |
| Mailing Telephone | 9042848579 |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2008-12-08 |
| Authorized Official Name | DR. PAUL WHITNEY JEWETT (PHYSICIAN VOLUNTEER) |
| Authorized Official Telephone | 9042844078 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | LL598 | FL | Nursing & Custodial Care Facilities |
| Street Address |
2 PAVILION PLACE |
| City | PENNEY FARMS |
| State | FL |
| Zip Code | 32079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114482494 | Douglas M Tew Md LLC | Internal Medicine | 2 Pavilion Place, Penney Farms, FL 32079 | 2019-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588272330 | Laura E Watkins | Physical Therapy Assistant | 3 Pavillion Place, Penney Farms, FL 32079 | 2020-07-17 |
| 1215551098 | Kristina Ketterer | Occupational Therapy Assistant | 3 North Pavilion Place, Penney Farms, FL 32079 | 2020-06-08 |
| 1023581634 | Katarina Elaine Norton | Physical Therapy Assistant | 3495 Hoffman St, Penney Farms, Fl 32079, Penney Farms, FL 32079 | 2019-01-07 |
| 1841762804 | Janet Keys | Physical Therapy Assistant | 3pavilion Place, Penney Farms, FL 32079 | 2018-12-31 |
| 1083182141 | Tonyo Lorenzo Sylvester | Occupational Therapy Assistant | 3 North Pavillion Place, Penney Farms, FL 32079 | 2018-11-07 |
| 1578919080 | Outpatient Clinic At Penney Retirement Community, Inc. | Family Medicine | 2 North Pavilion Place, Penney Farms, FL 32079 | 2016-05-13 |
| 1235756396 | Eric M Finch | Physical Therapy Assistant | 3 North Pavilion Place, Penny Farms, FL 32079 | 2020-07-06 |
| 1285991265 | Penney Retirement Community, Inc. | Skilled Nursing Facility | 1 Pavilion Place, Penney Farms, FL 32079-0555 | 2012-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992278501 | Corinne Jackson | Occupational Therapy Assistant | North Pavilion Place, Penney Farms, FL 32043 | 2019-01-07 |
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962021550 | Lighthouz Home Health Care LLC | Nursing Facility/Intermediate Care Facility | 6418 Seabury Way, Orlando, FL 32818-1750 | 2020-04-13 |
| 1902263007 | Marie E. Simeon | Nursing Facility/Intermediate Care Facility | 8206 Pennywell Place, Tampa, FL 33615 | 2016-01-20 |
| 1861895476 | Miami Va Health Care System | Nursing Facility/Intermediate Care Facility | 8765 Sw 146th St, Palmetto Bay, FL 33176-8083 | 2014-09-28 |
| 1578977799 | A Labor of Love Doula Services LLC | Nursing Facility/Intermediate Care Facility | 12311 164th Ct N, Jupiter, FL 33478-6568 | 2014-06-16 |
| 1962812545 | Florida Presbyterian Homes, Inc | Nursing Facility/Intermediate Care Facility | 901 Lakeside Avenue, Lakeland, FL 33803 | 2014-05-05 |
| 1013336346 | Bonaventure Health Services Inc. | Nursing Facility/Intermediate Care Facility | 123 Nw 13th St Ste 214-05, Boca Raton, FL 33432-1641 | 2014-04-15 |
| 1295153716 | Jeffrey D Mandelkorn Phd Pa | Nursing Facility/Intermediate Care Facility | 2000 Ne 17th St, #3, Fort Lauderdale, FL 33305-2565 | 2014-04-01 |
| 1801212097 | Faith Home Care Alf Inc. | Nursing Facility/Intermediate Care Facility | 114 Euclid Ave, Seffner, FL 33584-8000 | 2014-03-12 |
| 1295150712 | Happy Living LLC | Nursing Facility/Intermediate Care Facility | 582 Koala Dr, Kissimmee, FL 34759-4210 | 2014-02-19 |
| 1902243207 | Senior Home Maker Companion | Nursing Facility/Intermediate Care Facility | 13440 Sw 36 St, Miami, FL 33175 | 2013-05-28 |
| Find all providers with the same taxonomy | ||||
| City | PENNEY FARMS |
| Zip Code | 32079 |
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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.