2333 NORTH BRENTWOOD CIRCLE OPERATIONS LLC (NPI# 1740559483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740559483 |
Entity Type | Organization |
Organization Name | 2333 NORTH BRENTWOOD CIRCLE OPERATIONS LLC |
Other Organization Name | HEALTH CENTER AT BRENTWOOD |
Practice Address |
2333 N Brentwood Cir Lecanto FL 34461-8536 |
Practice Telephone | 3527466600 |
Practice Fax Number | 3527460866 |
Mailing Telephone | 3527466600 |
Mailing Fax Number | 3527460866 |
Enumeration Date | 2011-12-27 |
Last Update Date | 2020-04-24 |
Authorized Official Name | KENNETH USSERY (VP) |
Authorized Official Telephone | 4075711550 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | SNF1200096 | FL | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 004387400 | 05 |
Other Name | Type Code |
---|---|
Health Center at Brentwood | Doing Business As Name - Organization |
Street Address |
2333 N BRENTWOOD CIR |
City | LECANTO |
State | FL |
Zip Code | 34461-8536 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720034341 | Brentwood Health Care Associates LLC | Skilled Nursing Facility | 2333 N Brentwood Cir, Lecanto, FL 34461-8536 | 2006-05-25 |
1891315768 | Sherii Taloria Major | Occupational Therapist | 2333 N Brentwood Cir, Lecanto, FL 34461-8536 | 2020-04-21 |
1316508757 | Anita Clark | Physical Therapy Assistant | 2333 N Brentwood Cir, Lecanto, FL 34461-8536 | 2019-06-26 |
1881250207 | Carol Ann Smith | Occupational Therapy Assistant | 2333 N Brentwood Cir, Lecanto, FL 34461-8536 | 2019-05-10 |
1659864296 | Sandra Lee Watson | Occupational Therapy Assistant | 2333 N Brentwood Cir, Lecanto, FL 34461-8536 | 2018-06-08 |
1689199531 | Hollee Nicole Eastwood | Speech-Language Pathologist | 2333 N Brentwood Cir, Lecanto, FL 34461-8536 | 2017-08-11 |
1477005080 | Elaine Marie Diesing | Occupational Therapy Assistant | 2333 N Brentwood Cir, Lecanto, FL 34461-8536 | 2016-10-30 |
1215489364 | Brooke Marie Wharton | Occupational Therapy Assistant | 2333 N Brentwood Cir, Lecanto, FL 34461-8536 | 2016-10-25 |
1841688306 | Tiffany Mcneill | Physical Therapy Assistant | 2333 N Brentwood Cir, Lecanto, FL 34461-8536 | 2015-01-06 |
1841688652 | Elizabeth Appleby | Occupational Therapy Assistant | 2333 N Brentwood Cir, Lecanto, FL 34461-8536 | 2014-12-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891261160 | Shekinah Barfield | Physician Assistant | Pediatric and Internal Medicine Specialist Inc, 1990 N Prospect Ave, Lecanto, FL 34461 | 2018-10-15 |
1699240887 | Medical Risk Solutions | Family Medicine | 2804 W. Marc Knighton Court Key #10, Lecanto, FL 34461 | 2018-10-04 |
1851848097 | Pedim Outreach and Specialty Clinic LLC | Family Medicine | 1982 N Prospect Ave, Lecanto, FL 34461 | 2016-09-06 |
1265776579 | Wal-mart Stores East Lp | Technician/Technologist | 1936 N. Lecanto Hwy, Lecanto, FL 34461 | 2012-11-27 |
1922306109 | Pediatric and Internal Medicine Specialists, Pa | Clinic/Center | 1980 North Prospect Avenue, Lecanto, FL 34461 | 2011-03-11 |
1942459078 | Crq Enterprises LLC | Home Health | 4214 W Gulf To Lake Hwy, Lecanto, FL 34461 | 2008-09-12 |
1548418064 | Thomas Tybeck | Counselor | 324 S Kensington Ave Ste 328, Lecanto, FL 34461 | 2008-09-09 |
1356533566 | Amanda Nicole Coppedge | Optometrist | 240 N. Lecanto Hwy., Lecanto, FL 34461 | 2007-08-11 |
1679779185 | Brashears Vital Care Corp | Pharmacy | 471 N Dacie Pt, Lecanto, FL 34461 | 2007-06-22 |
1285751099 | Interim Healthcare Private Services, Inc. | Home Health | 581 E. Gulf To Lake Highway, Village West Plaza, Lecanto, FL 34461 | 2007-03-25 |
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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 |
---|---|---|---|---|
1851325286 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 3325 W Jerwayne Ln, Lecanto, FL 34461-8397 | 2006-07-10 |
1720034341 | Brentwood Health Care Associates LLC | Skilled Nursing Facility | 2333 N Brentwood Cir, Lecanto, FL 34461-8536 | 2006-05-25 |
1588665251 | Surrey Place of Lacanto LLC | Skilled Nursing Facility | 2730 W Marc Knighton Ct, Lecanto, FL 34461-8334 | 2005-08-03 |
1093181471 | Citrus County Operations, LLC | Skilled Nursing Facility | 3325 W Jerwayne Ln, Lecanto, FL 34461-8397 | 2015-08-19 |
1740528728 | Daphnee Paulin | Skilled Nursing Facility | 2333 N Brentwood Cir, Lecanto, FL 34461-8536 | 2013-01-24 |
NPI | Name | Taxonomy | Address | Enumeration |
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1306444708 | Center for Comprehensive Services, Inc. | Skilled Nursing Facility | 2411 Clement Rd, Lutz, FL 33549-5552 | 2020-10-16 |
1114530227 | Jupiter Rehab and Health Center LLC | Skilled Nursing Facility | 650 Pioneer Rd # 5, Jupiter, FL 33458-8834 | 2020-08-28 |
1821601089 | Wellington Rehab and Health Center, LLC | Skilled Nursing Facility | 10330 Nu Vista Ave, Wellington, FL 33414 | 2020-08-27 |
1043822349 | Oaks of Kissimmee Operations LLC | Skilled Nursing Facility | 320 N. Mitchell St, Kissimmee, FL 34741-4447 | 2020-08-18 |
1720690027 | Brynwood Operations LLC | Skilled Nursing Facility | 1656 S Jefferson St, Monticello, FL 32344-1652 | 2020-08-18 |
1326668120 | Key West Nursing Home Propco LLC | Skilled Nursing Facility | 5860 College Road, Key West, FL 33040 | 2020-04-21 |
1740800655 | Javara Troupe | Skilled Nursing Facility | 10043 Victory Gallop Loop, Ruskin, FL 33573-6744 | 2020-04-21 |
1578199303 | First Coast Health Ventures, LLC | Skilled Nursing Facility | 15480 Max Leggett Parkway, Jacksonville, FL 32218 | 2020-03-12 |
1053944116 | Pruitthealth - Southwood, LLC | Skilled Nursing Facility | 2301 Bluff Oak Way, Tallahassee, FL 32311-6161 | 2020-02-18 |
1992336895 | Dolphin Pointe Health Care, LLC | Skilled Nursing Facility | 5355 Dolphin Point Rd., Jacksonville, FL 32211 | 2020-01-29 |
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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.