PRIME HEALTHCARE SERVICES-LEHIGH ACRES LLC (NPI# 1922563485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922563485 |
| Entity Type | Organization |
| Organization Name | PRIME HEALTHCARE SERVICES-LEHIGH ACRES LLC |
| Practice Address |
1500 Lee Blvd Lehigh Acres FL 33936-4835 |
| Practice Telephone | 2393692101 |
| Mailing Telephone | 2393692101 |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2019-02-08 |
| Authorized Official Name | CHRISTOPHER DOAN (LEGAL COUNSEL) |
| Authorized Official Telephone | 3102594706 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 010111700 | 05 |
| Other Name | Type Code |
|---|---|
| Lehigh Regional Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194194720 | Prime Healthcare Services-lehigh Acres LLC | General Acute Care Hospital | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2015-09-24 |
| Street Address |
1500 LEE BLVD |
| City | LEHIGH ACRES |
| State | FL |
| Zip Code | 33936-4835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558358143 | Charles J Havel Jr. | Emergency Medicine | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2005-09-29 |
| 1396345716 | Anita Dzelilovic | Social Worker | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2020-10-26 |
| 1881212322 | Kimberly L Harris | Registered Nurse | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2020-07-10 |
| 1710543640 | Small Hospital Innovations LLC | Emergency Medicine | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2019-05-16 |
| 1235611286 | Jacquelyn Boberg | Nurse Practitioner | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2018-09-05 |
| 1568994564 | Leonie Hernandez | Nurse Practitioner | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2017-03-29 |
| 1497128219 | Viking Emergency Physicians, LLC | Physician Assistant | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2015-11-02 |
| 1083086995 | Anemone Emergency Physicians, LLC | Physician Assistant | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2015-10-30 |
| 1023488202 | Lehigh Regional Medical Center | Pharmacy | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2015-10-01 |
| 1194194720 | Prime Healthcare Services-lehigh Acres LLC | General Acute Care Hospital | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2015-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497241939 | Happy Learning, LLC | Clinic/Center | 1400 Kimdale St E Ste 2, Lehigh Acres, FL 33936 | 2018-07-09 |
| 1184112906 | Fenix Behavior Therapy Co. | Behavioral Analyst | 15 Roosevelt Ave, Lehigh Acres, FL 33936 | 2018-04-26 |
| 1548781586 | Cossette Maiquez | Nurse Practitioner | 448 Morgan Circle South, Lehigh Acres, FL 33936 | 2017-06-29 |
| 1124567714 | Sweet Home Adult Day Care, LLC. | Clinic/Center | 201 Plaza Drive Suite #102, Lehigh Acres, FL 33936 | 2017-02-16 |
| 1306106612 | Darry Dean Griebel | Veterinarian | 21 S. Homestead Rd, Lehigh Acres, FL 33936 | 2012-05-21 |
| 1538469838 | V-20 Medical Services Inc | General Practice | 1420-1422 Lee Blvd, Lehigh Acres, FL 33936 | 2010-11-02 |
| 1093808552 | Abdel R Aryan | Pharmacist | 57 Homestead Rd No., Lehigh Acres, FL 33936 | 2006-10-02 |
| 1265534663 | Steve G Hunter | Pharmacist | 415 Homestead Rd, Lehigh Acres, FL 33936 | 2006-09-05 |
| 1699702035 | Florence Faye Doman | Internal Medicine | Lehigh Regional Medical Center, 1500 Lee Blvd., Lehigh Acres, FL 33936 | 2006-06-28 |
| 1396732970 | Joseph Francis Avey | Family Medicine | 260 Beth Stacey Blvd, Suite 130, Lehigh Acres, FL 33936 | 2005-09-29 |
| Find all providers in zip 33936 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154687382 | Lee Care, Inc. | Psychiatric Unit | 833 Eisenhower Blvd, Lehigh Acres, FL 33974-3603 | 2012-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760810550 | Vipsych Pllc | Psychiatric Unit | 5895 Lake Melrose Dr, Orlando, FL 32829-7690 | 2013-10-15 |
| 1932435187 | The Pavilion At Healthpark, LLC | Psychiatric Unit | 9241 Park Royal Drive, Ft. Myers, FL 33908 | 2009-10-22 |
| 1952634644 | Kareen Aristide | Psychiatric Unit | 851 Nw 151st St, Miami, FL 33169-6103 | 2009-09-12 |
| 1659493476 | University of Miami Hospital and Clinics | Psychiatric Unit | 1475 Nw 12th Ave # C-023a, Miami, FL 33136-1002 | 2007-04-04 |
| 1467527358 | Tania M. Holly | Psychiatric Unit | Uf, Department of Psychiatry 1600 Sw Archer Road, Gainesville, FL 32610 | 2006-11-24 |
| 1457448037 | Baptist Hospital Inc. | Psychiatric Unit | 1101 W Moreno St, Pensacola, FL 32501-2317 | 2006-10-06 |
| 1265529887 | Memorial Hospital West Volusia Inc | Psychiatric Unit | 701 W. Plymouth Avenue, Deland, FL 32720-3236 | 2006-10-06 |
| 1033211180 | Adventist Health System-sunbelt Inc | Psychiatric Unit | 1210 Us 27 N, Lake Placid, FL 33852-7948 | 2006-09-01 |
| 1063422327 | Springbrook Hospital | Psychiatric Unit | 7007 Grove Rd, Brooksville, FL 34609-8610 | 2006-08-09 |
| 1881632818 | St. Joseph's Hospital, Inc. | Psychiatric Unit | 3001 W Dr Mlk Jr Blvd, Tampa, FL 33607-6307 | 2006-06-03 |
| Find all providers with the same taxonomy | ||||
| City | LEHIGH ACRES |
| Zip Code | 33936 |
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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.