SHADY REST CARE PAVILION, INC. (NPI# 1881681724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881681724 |
| Entity Type | Organization |
| Organization Name | SHADY REST CARE PAVILION, INC. |
| Other Organization Name | PAGE REHABILITATION AND HEALTHCARE CENTER |
| Practice Address |
2310 N Airport Rd Fort Myers FL 33907-1426 |
| Practice Telephone | 2399318401 |
| Practice Fax Number | 2399318453 |
| Mailing Telephone | 2399318401 |
| Mailing Fax Number | 2399318453 |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2016-09-01 |
| Authorized Official Name | MR. WESTON R EDWARDS (CEO) |
| Authorized Official Telephone | 2399318402 |
| Is Organization Subpart | Y |
| Parent Organization Name | SHADY REST CARE PAVILION, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | SNF1497096 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 021390000 | 05 |
| Other Name | Type Code |
|---|---|
| Page Rehabilitation and Healthcare Center | Doing Business As Name - Organization |
| Street Address |
2310 N AIRPORT RD |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33907-1426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164906558 | Page Operating LLC | Skilled Nursing Facility | 2310 N Airport Rd, Fort Myers, FL 33907-1426 | 2018-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739253 | Islande Dorcin | Social Worker | 13300 South Cleveland Ave Suite 56 # 822, Fort Myers, FL 33907 | 2020-08-04 |
| 1003462268 | Ronny Rodolfo Herrera | Behavior Technician | Beacon Executive Suites, 8359 Beacon Blvd, Suite#416, Homestead, FL 33907 | 2019-08-14 |
| 1528549094 | Deborah Senese Streater | Dentist | 12530 New Brittany Blvd., Fort Myers, FL 33907 | 2018-08-23 |
| 1437648391 | Rita Lusinete Rabitt | Registered Nurse | 14084 Clear Water Ln, Fort Myers, FL 33907 | 2018-05-07 |
| 1972092146 | Surgery Centre of Sw Florida LLC | Clinic/Center | 13051 University Dr Ste 102, Fort Myers, FL 33907 | 2018-05-03 |
| 1740787761 | Care Transport Inc | Non-emergency Medical Transport (VAN) | 7850 Reflection Cove Dr, Fort Myers, FL 33907 | 2018-04-06 |
| 1942730692 | Concierge Care of Fort Myers, LLC | In Home Supportive Care | 12253 New Brittany Boulevard, Suite 32, Fort Myers, FL 33907 | 2017-06-15 |
| 1710411467 | Johnnie Terrell | Social Worker | 43 Barkley Cir #102, Fort Myers, FL 33907 | 2017-04-19 |
| 1881041184 | Hchs Medical Center | Clinic/Center | 35 Barkley Circle, Unit 2, Fort Myers, FL 33907 | 2016-05-17 |
| 1043665227 | Tong Liu | Dentist | 8016 Summerlin Lakes Dr, Fort Myers, FL 33907 | 2016-04-26 |
| Find all providers in zip 33907 | ||||
| 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 |
|---|---|---|---|---|
| 1114409141 | Lee Memorial Health System | Skilled Nursing Facility | 13960 Plantation Rd, Fort Myers, FL 33912-4303 | 2018-09-06 |
| 1386958809 | Usbd Hospitalists & Consultants Inc | Skilled Nursing Facility | 14015 Danpark Loop, Fort Myers, FL 33912-6854 | 2010-07-27 |
| 1669546321 | The Christian & Missionary Alliance Foundation Inc | Skilled Nursing Facility | 15071 Shell Point Blvd, Fort Myers, FL 33908-1639 | 2006-11-17 |
| 1699786061 | Healthpark Care Center, Inc. | Skilled Nursing Facility | 16131 Roserush Ct, Fort Myers, FL 33908-3634 | 2006-08-11 |
| 1992748628 | Cypress Cove At Health Park of Florida, Inc. | Skilled Nursing Facility | 10500 Cypress Cove Dr, Fort Myers, FL 33908-6692 | 2006-06-13 |
| 1952357535 | Lee Health Care Associates LLC | Skilled Nursing Facility | 2826 Cleveland Ave, Fort Myers, FL 33901-6001 | 2006-05-26 |
| 1962457333 | Evans Health Care Associates LLC | Skilled Nursing Facility | 3735 Evans Ave, Fort Myers, FL 33901-9302 | 2006-05-24 |
| 1346294766 | Hqm of Fort Myers, LLC | Skilled Nursing Facility | 13755 Golf Club Pkwy, Fort Myers, FL 33919-5146 | 2006-05-20 |
| 1356345904 | Fi-winkler Court, LLC | Skilled Nursing Facility | 3250 Winkler Avenue Ext, Fort Myers, FL 33916-9414 | 2005-06-10 |
| 1164906558 | Page Operating LLC | Skilled Nursing Facility | 2310 N Airport Rd, Fort Myers, FL 33907-1426 | 2018-09-20 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33907 |
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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.