JOHN KNOX VILLAGE OF FLORIDA, INC. (NPI# 1790772127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790772127 |
| Entity Type | Organization |
| Organization Name | JOHN KNOX VILLAGE OF FLORIDA, INC. |
| Other Organization Name | JOHN KNOX VILLAGE HEALTH CENTER |
| Practice Address |
830 Lakeside Cir Pompano Beach FL 33060-7748 |
| Practice Telephone | 9547834090 |
| Practice Fax Number | 9547834043 |
| Mailing Telephone | 9547834090 |
| Mailing Fax Number | 9547834043 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROBERT GROSSMAN (ADMINISTRATOR) |
| Authorized Official Telephone | 9547834090 |
| Authorized Official Credential | NHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | SNF1258096 | FL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| John Knox Village Health Center | Other Name - Individual/Organization |
| Street Address |
830 LAKESIDE CIR |
| City | POMPANO BEACH |
| State | FL |
| Zip Code | 33060-7748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174741763 | Linda Stefanick | Occupational Therapist | 830 Lakeside Cir, Pompano Beach, FL 33060-7748 | 2007-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606631 | Healthstat Wellness Health Center John Knox Village | Preventive Medicine | 500 South West 3rd Street, Suite 100, Pompano Beach, FL 33060 | 2020-10-14 |
| 1184234510 | Mediplus Clinic | Clinic/Center | 151 Sw 6th Street, Pompano Beach, FL 33060 | 2020-07-31 |
| 1912566415 | Sophia Thompson | Specialist/Technologist | 817 N Dixie Highway, Pompano Beach, FL 33060 | 2019-06-07 |
| 1508342460 | Gayta Prospere | Counselor | 871 North Dixie Highway, Pompano Beach, FL 33060 | 2018-07-13 |
| 1801303847 | Mediplus Clinic, Inc | General Practice | 151-155 Sw 6th Street, Pompano Beach, FL 33060 | 2017-12-29 |
| 1932624673 | Molly Waterway | Technician, Other | 200 Sw 16th St., Pompano Beach, FL 33060 | 2017-08-03 |
| 1366965089 | Jordan Terrell Striggles | Technician, Other | 1871 Nw 5th Terr, Pompano Beach, FL 33060 | 2017-07-25 |
| 1568832848 | Richard Orlan | Hearing Instrument Specialist | 550 S.w. 3rd St., #101b, Pompano Beach, FL 33060 | 2015-09-30 |
| 1700270808 | Lab Geeks, LLC | Clinical Medical Laboratory | 1701 Green Road, Suite B, Deerfield Beach, FL 33060 | 2015-03-26 |
| 1023412236 | Jesica Christine Velez | Behavioral Analyst | 911 East Atlantic Bulevard #108a, Pompano Beach, FL 33060 | 2014-10-17 |
| Find all providers in zip 33060 | ||||
| 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 |
|---|---|---|---|---|
| 1255808788 | Select Rehab | Skilled Nursing Facility | 401 Sample Road, Pompano Beach, FL 33064 | 2018-11-02 |
| 1851450514 | Florida Institute for Long Term Care | Skilled Nursing Facility | 401 East Sample Road, Pompano Beach, FL 33064 | 2006-12-08 |
| 1760591358 | Five Star Quality Care Fl LLC | Skilled Nursing Facility | 2701 North Course Drive, Pompano Beach, FL 33069-3058 | 2006-08-29 |
| 1528014453 | Pinehurst Health Care Associates LLC | Skilled Nursing Facility | 2401 Ne 2nd St, Pompano Beach, FL 33062-4806 | 2006-05-25 |
| 1659375251 | Fi-pompano Rehab, LLC | Skilled Nursing Facility | 51 W Sample Rd, Pompano Beach, FL 33064-3542 | 2005-06-10 |
| 1285638924 | Fi-broward Nursing, LLC | Skilled Nursing Facility | 401 E Sample Rd, Pompano Beach, FL 33064-4441 | 2005-06-10 |
| 1881963650 | 2401 Ne 2nd Street Operations LLC | Skilled Nursing Facility | 2401 Ne 2nd St, Pompano Beach, FL 33062-4806 | 2011-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
| City | POMPANO BEACH |
| Zip Code | 33060 |
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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.