FLORIDA PRESBYTERIAN HOMES, INC (NPI# 1962812545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962812545 |
Entity Type | Organization |
Organization Name | FLORIDA PRESBYTERIAN HOMES, INC |
Practice Address |
901 Lakeside Avenue Lakeland FL 33803 |
Mailing Address |
16 Lake Hunter Drive Lakeland FL 33803 |
Practice Telephone | 8636885521 |
Practice Fax Number | 8636874088 |
Mailing Telephone | 8636885521 |
Mailing Fax Number | 8636874088 |
Enumeration Date | 2014-05-05 |
Last Update Date | 2014-05-05 |
Authorized Official Name | MR. JOHN M. HEHN JR. (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 8635776033 |
Is Organization Subpart | Y |
Parent Organization Name | FLORIDA PRESBYTERIAN HOMES |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 313M00000X | Nursing Facility/Intermediate Care Facility | AL4790 | FL | Nursing & Custodial Care Facilities |
Street Address |
901 LAKESIDE AVENUE |
City | LAKELAND |
State | FL |
Zip Code | 33803 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861964819 | Steven P Agelidis | Counselor | 2020 S. Florida Ave, Suite 207, Lakeland, FL 33803 | 2018-12-31 |
1902316201 | Kesara Mai Ngam | Massage Therapist | 117 West Oak Drive, Lakeland, FL 33803 | 2017-10-02 |
1396260618 | Suncoast Behavioral Solutions, LLC | Behavioral Analyst | 1920 E Edgewood Dr Apt A8, Lakeland, FL 33803 | 2017-08-08 |
1316484413 | Daniel Jacob Stahl | Behavior Technician | 145 East Edgewood Drive, Lakeland, FL 33803 | 2017-01-26 |
1780037002 | Shelley Stettinius | Behavioral Analyst | 145 East Edgewood Dr, Lakeland, FL 33803 | 2016-07-21 |
1396106654 | Highlands Occupational Therapy, Inc | Occupational Therapist | 2000 East Edgewood Drive, Suite 114, Lakeland, FL 33803 | 2016-03-15 |
1003289570 | Jayna Dinsmore | Physical Therapy Assistant | 321 Imperial Blvd, D38, Lakeland, FL 33803 | 2015-11-05 |
1093187429 | Healthstat Wellness Polk-lakeland | Preventive Medicine | 3215 Winter Lake Road, Lakeland, FL 33803 | 2015-10-26 |
1710316336 | Trinity Endodontics | Health Maintenance Organization | 1602 S. Florida Ave, Ste #1, Lakeland, FL 33803 | 2013-11-04 |
1578800082 | Margaret S Henry | Massage Therapist | 213 Kerney Wood St., Lakeland, FL 33803 | 2013-01-04 |
Find all providers in zip 33803 |
Taxonomy Code | 313M00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Nursing Facility/Intermediate Care Facility |
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194141549 | Hospital Authority of Valdosta and Lowndes County, Georgia | Nursing Facility/Intermediate Care Facility | 120 W Thigpen Ave, Lakeland, GA 31635-1011 | 2014-03-10 |
1558318337 | Lanier Health Services, Inc | Nursing Facility/Intermediate Care Facility | 852 W Thigpen Ave, Lakeland, GA 31635-1006 | 2006-05-27 |
1003024456 | Donna Louise Worley | Nursing Facility/Intermediate Care Facility | 4240 Lakeland Highlands Rd, Lakeland, FL 33813-3113 | 2007-05-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962021550 | Lighthouz Home Health Care LLC | Nursing Facility/Intermediate Care Facility | 6418 Seabury Way, Orlando, FL 32818-1750 | 2020-04-13 |
1902263007 | Marie E. Simeon | Nursing Facility/Intermediate Care Facility | 8206 Pennywell Place, Tampa, FL 33615 | 2016-01-20 |
1861895476 | Miami Va Health Care System | Nursing Facility/Intermediate Care Facility | 8765 Sw 146th St, Palmetto Bay, FL 33176-8083 | 2014-09-28 |
1578977799 | A Labor of Love Doula Services LLC | Nursing Facility/Intermediate Care Facility | 12311 164th Ct N, Jupiter, FL 33478-6568 | 2014-06-16 |
1013336346 | Bonaventure Health Services Inc. | Nursing Facility/Intermediate Care Facility | 123 Nw 13th St Ste 214-05, Boca Raton, FL 33432-1641 | 2014-04-15 |
1295153716 | Jeffrey D Mandelkorn Phd Pa | Nursing Facility/Intermediate Care Facility | 2000 Ne 17th St, #3, Fort Lauderdale, FL 33305-2565 | 2014-04-01 |
1801212097 | Faith Home Care Alf Inc. | Nursing Facility/Intermediate Care Facility | 114 Euclid Ave, Seffner, FL 33584-8000 | 2014-03-12 |
1295150712 | Happy Living LLC | Nursing Facility/Intermediate Care Facility | 582 Koala Dr, Kissimmee, FL 34759-4210 | 2014-02-19 |
1902243207 | Senior Home Maker Companion | Nursing Facility/Intermediate Care Facility | 13440 Sw 36 St, Miami, FL 33175 | 2013-05-28 |
1578804308 | Lisa Rabinowitz Pa | Nursing Facility/Intermediate Care Facility | 10670 Nw 17th Ct, Plantation, FL 33322-6468 | 2013-03-04 |
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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.