PROMISE HOSPITAL OF FLORIDA AT THE VILLAGES, INC. (NPI# 1053601211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053601211 |
| Entity Type | Organization |
| Organization Name | PROMISE HOSPITAL OF FLORIDA AT THE VILLAGES, INC. |
| Practice Address |
5050 County Road 472 Oxford FL 34484-3750 |
| Mailing Address |
999 Yamato Road 3rd Floor Boca Raton FL 33431 |
| Practice Telephone | 5618693100 |
| Mailing Telephone | 5618693100 |
| Mailing Fax Number | 5618260171 |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2018-04-10 |
| Authorized Official Name | MR. JAMES HOPWOOD (CFO) |
| Authorized Official Telephone | 5618693100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | FL | Hospitals |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PROMISE HOSPITAL OF FLORIDA AT THE VILLAGES, INC. | 5050 County Rd 472, Oxford, FL 34484-3750 |
| Street Address |
5050 COUNTY ROAD 472 |
| City | OXFORD |
| State | FL |
| Zip Code | 34484-3750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629532023 | Select Specialty Hospital - The Villages Inc | Long Term Care Hospital | 5050 County Road 472, Oxford, FL 34484-3750 | 2019-01-30 |
| 1942714993 | Sunshine Patient Care LLC | Family Medicine | 5050 County Road 472, Oxford, FL 34484-3750 | 2017-11-29 |
| 1346753225 | Asm Rahman Md LLC | Internal Medicine | 5050 County Road 472, Oxford, FL 34484-3750 | 2017-11-14 |
| 1114310331 | Preventive Nephrology, Pa | Internal Medicine | 5050 County Road 472, Oxford, FL 34484-3750 | 2015-03-12 |
| 1225465800 | Dana Lynn Giles Md Pa | Internal Medicine | 5050 County Road 472, Oxford, FL 34484-3750 | 2013-09-27 |
| 1205106283 | Susan Marjorie Skolly | Pharmacist | 5050 County Road 472, Oxford, FL 34484-3750 | 2012-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033760723 | Advanced Surgery Center of Oxford | Clinic/Center | 12117 Cr 103, Oxford, FL 34484 | 2019-09-24 |
| 1124571500 | Comfortable Care Dental Health Professionals, Pa | Dentist | 4232 E County Road 466, Suite 101, Oxford, FL 34484 | 2016-08-02 |
| 1336513639 | Balanced Wellbeing LLC | Psychiatry & Neurology | 10840 North Us Highway, Suite 301, Oxford, FL 34484 | 2015-11-24 |
| 1558616052 | Junzen Ballesil Domingo | Physical Therapist | 14401 S. Military Trail, Apt 110, Delray Beach, FL 34484 | 2012-07-20 |
| 1285960229 | Tracy Renna | Occupational Therapist | 4904 Ne 123rd Ln, Oxford, FL 34484 | 2009-10-27 |
| 1588766125 | Richard M Roach | Urology | 12109 County Road 103 Ste 2, Oxford, FL 34484 | 2006-09-03 |
| 1942238506 | Hartford Health Services, LLC | Home Health | 11031 N Us Highway 301 Ste 103, Oxford, FL 34484 | 2006-06-30 |
| 1962046151 | Solace Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 12117 Cr 103, Oxford, FL 34484 | 2019-10-31 |
| 1689142259 | Kendra Nicole Wilson | Physician Assistant | 10840 N Us Highway 301, Oxford, FL 34484 | 2018-11-12 |
| 1841451507 | Rebecca M Herndon | Occupational Therapist | 4725 Bellwether Ln, Oxford, FL 34484 | 2008-06-24 |
| Find all providers in zip 34484 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629532023 | Select Specialty Hospital - The Villages Inc | Long Term Care Hospital | 5050 County Road 472, Oxford, FL 34484-3750 | 2019-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578192860 | Sugarfootz & Wellness LLC | Long Term Care Hospital | 4924 5th St S, St Petersburg, FL 33705-4721 | 2020-04-07 |
| 1700253218 | Peter James Lapolla | Long Term Care Hospital | 710 Snell Isle Blvd Ne, Saint Petersburg, FL 33704-3742 | 2015-09-01 |
| 1336569821 | Promise Hospital of Dade, Inc. | Long Term Care Hospital | 14001 Nw 82nd Avenue, Miami Lakes, FL 33016 | 2014-04-23 |
| 1710306402 | Usha Agarwal Md Pa | Long Term Care Hospital | 3543 Little Road, Ste A, Dr. Usha Agarwal Md Pa, Trinity, FL 34655-1945 | 2014-04-10 |
| 1447690011 | Clinical Corporation of America | Long Term Care Hospital | 10845 Nw 7th St, Apt 22, Miami, FL 33172-3778 | 2013-06-27 |
| 1578843702 | Robert M. Lancaster, Arnp-bc P.a. | Long Term Care Hospital | 9055 Starpass Dr, Jacksonville, FL 32256-5472 | 2011-08-19 |
| 1649579681 | Yoel A Hernandez Md Pa | Long Term Care Hospital | 1951 Sw 172nd Ave Ste 200, Miramar, FL 33029-5613 | 2011-03-16 |
| 1194960526 | Mathilde Louis | Long Term Care Hospital | 8410 Ne 2ct, Miami, FL 33138-3928 | 2008-12-15 |
| 1467697953 | University Community Hospital, Inc | Long Term Care Hospital | 9441 Health Center Dr, Land O Lakes, FL 34637-5837 | 2008-12-11 |
| 1992990972 | Select Specialty Hospital - Palm Beach Inc | Long Term Care Hospital | 3060 Melaleuca Lane, Lake Worth, FL 33461 | 2007-09-12 |
| Find all providers with the same taxonomy | ||||
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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.