OSPREY OF NORTH FLORIDA INC (NPI# 1740337526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740337526 |
| Entity Type | Organization |
| Organization Name | OSPREY OF NORTH FLORIDA INC |
| Other Organization Name | OSPREY POINT NURSING CENTER |
| Practice Address |
1104 N Main St Bushnell FL 33513-5045 |
| Practice Telephone | 3525688777 |
| Practice Fax Number | 3525688780 |
| Mailing Telephone | 3525688777 |
| Mailing Fax Number | 3525688780 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2007-10-17 |
| Authorized Official Name | MR. ROBERT DANIEL MEAD (REGIONAL VICE PRESIDENT) |
| Authorized Official Telephone | 3525688777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | M1X | 01 |
| Other Name | Type Code |
|---|---|
| Osprey Point Nursing Center | Doing Business As Name - Organization |
| Street Address |
1104 N MAIN ST |
| City | BUSHNELL |
| State | FL |
| Zip Code | 33513-5045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831687862 | Sheri F Morgan | Physical Therapy Assistant | 1104 N Main St, Bushnell, FL 33513-5045 | 2018-04-25 |
| 1295239044 | Janel Sanders | Occupational Therapy Assistant | 1104 N Main St, Bushnell, FL 33513-5045 | 2018-03-19 |
| 1336502129 | Steven Sadecky | Occupational Therapy Assistant | 1104 N Main St, Bushnell, FL 33513-5045 | 2016-03-30 |
| 1750755575 | Cary Mattos | Physical Therapy Assistant | 1104 N Main St, Bushnell, FL 33513-5045 | 2015-11-17 |
| 1164896973 | Denise Zachary | Physical Therapy Assistant | 1104 N Main St, Bushnell, FL 33513-5045 | 2015-11-17 |
| 1760856587 | Lori Sadecky | Occupational Therapist | 1104 N Main St, Bushnell, FL 33513-5045 | 2015-11-17 |
| 1447624283 | Dixie Palesch | Occupational Therapy Assistant | 1104 N Main St, Bushnell, FL 33513-5045 | 2015-11-17 |
| 1902292212 | Susan Taylor-golley | Community Health Worker | 1104 N Main St, Bushnell, FL 33513-5045 | 2015-04-13 |
| 1841536984 | Osprey Nursing and Rehabilitation, LLC | Skilled Nursing Facility | 1104 N Main St, Bushnell, FL 33513-5045 | 2012-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619465481 | Crystal Wallace Goddin | Physical Therapy Assistant | 1104 N Main St, Bushnell, Fl, Bushnell, FL 33513 | 2018-04-27 |
| 1255836920 | Anton Dawson | Behavior Technician | 2310 Cr 615, Bushnell, FL 33513 | 2018-03-26 |
| 1942728431 | Carolyn Sue Guarino | Licensed Practical Nurse | 10306 S.w. 53rd Terr., Bushnell, FL 33513 | 2017-09-05 |
| 1326321258 | Edith Marie Evans | Case Manager/Care Coordinator | 2891 C.r. 615b, Bushnell, FL 33513 | 2011-09-27 |
| 1144478439 | Emma J Ridley | Pharmacist | Sumter Oaks Park, 4602 Couny Rd. 673, #14107, Bushnell, FL 33513 | 2008-08-29 |
| 1205083268 | Diana K Mullin | Day Training, Developmentally Disabled Services | 9325 Cr 622 G, Bushnell, FL 33513 | 2008-08-21 |
| 1467625202 | Amy's Caring Hands | Day Training, Developmentally Disabled Services | 1612 W County Road 476, Bushnell, FL 33513 | 2008-04-11 |
| 1821212952 | Stuart J Kaufman Md & Assoc Pa | Ophthalmology | 1814 West Cr 48, Bushnell, FL 33513 | 2007-04-12 |
| 1740201128 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 1122 N Main St, Bushnell, FL 33513 | 2006-07-21 |
| 1184688947 | Florida Department of Health | Public Health or Welfare | 415 E Noble Ave, Bushnell, FL 33513 | 2006-04-17 |
| Find all providers in zip 33513 | ||||
| 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 |
|---|---|---|---|---|
| 1841536984 | Osprey Nursing and Rehabilitation, LLC | Skilled Nursing Facility | 1104 N Main St, Bushnell, FL 33513-5045 | 2012-12-18 |
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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.