1937 JENKS AVENUE OPERATIONS LLC (NPI# 1093084733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093084733 |
| Entity Type | Organization |
| Organization Name | 1937 JENKS AVENUE OPERATIONS LLC |
| Other Organization Name | SEA BREEZE HEALTH CARE |
| Practice Address |
1937 Jenks Ave Panama City FL 32405-4510 |
| Practice Telephone | 8507697686 |
| Practice Fax Number | 8507697680 |
| Mailing Telephone | 8507697686 |
| Mailing Fax Number | 8507697680 |
| Enumeration Date | 2011-12-27 |
| Last Update Date | 2019-05-10 |
| Authorized Official Name | KENNETH USSERY (VP) |
| Authorized Official Telephone | 4075711550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | SNF11870961 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 005987400 | 05 |
| Other Name | Type Code |
|---|---|
| Sea Breeze Health Care | Doing Business As Name - Organization |
| Street Address |
1937 JENKS AVE |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32405-4510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700832466 | Gulf Coast Health Care Associates LLC | Skilled Nursing Facility | 1937 Jenks Ave, Panama City, FL 32405-4510 | 2006-05-25 |
| 1649788175 | Margaret Anne Ketabi | Occupational Therapist | 1937 Jenks Ave, Panama City, FL 32405-4510 | 2018-01-18 |
| 1477904779 | Autumn Peters | Physical Therapy Assistant | 1937 Jenks Ave, Panama City, FL 32405-4510 | 2016-06-28 |
| 1235598665 | Wendy Lopez | Occupational Therapist | 1937 Jenks Ave, Panama City, FL 32405-4510 | 2016-02-13 |
| 1831564426 | Vickie Thrasher | Physical Therapy Assistant | 1937 Jenks Ave, Panama City, FL 32405-4510 | 2015-12-08 |
| 1659743474 | Taylor Shuler | Occupational Therapy Assistant | 1937 Jenks Ave, Panama City, FL 32405-4510 | 2015-10-21 |
| 1962870501 | Sarah Ann Harrell | Physical Therapist | 1937 Jenks Ave, Panama City, FL 32405-4510 | 2015-09-14 |
| 1053709642 | Christina Toole | Occupational Therapist | 1937 Jenks Ave, Panama City, FL 32405-4510 | 2015-01-05 |
| 1689078115 | Michael Valerio | Physical Therapist | 1937 Jenks Ave, Panama City, FL 32405-4510 | 2014-10-13 |
| 1659786283 | Shawntell World | Nurse Practitioner | 1937 Jenks Ave, Panama City, FL 32405-4510 | 2014-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962136 | Kimberlea Fox | Behavioral Analyst | 4750 Collegiate Drive, Technology Building 157, Panama City, FL 32405 | 2020-08-14 |
| 1598325714 | Covenant Home Health Care, LLC | Home Health | 107 W. 19th Street, Panama City, FL 32405 | 2019-06-19 |
| 1467921403 | Amy Hancock | Counselor | 1212 W. 19th St., Panama City, FL 32405 | 2018-11-20 |
| 1063991917 | Patricia Kagendo Mutunga | Day Training, Developmentally Disabled Services | 2813 Fairmont Dr, Panama City, FL 32405 | 2018-08-11 |
| 1871087882 | Southeastern Dermatology Group Pa | Pharmacy | 2505 Harrison Ave Ste A, Panama City, FL 32405 | 2018-06-22 |
| 1346733615 | Jessica Nicole Graham | Nurse Practitioner | 2507 Harrison Ave Unit 101, Panama City, FL 32405 | 2018-06-12 |
| 1437658424 | Coastal Mobility Transportation, LLC | Non-emergency Medical Transport (VAN) | 203 Forest Park Circle, Panama City, FL 32405 | 2018-02-06 |
| 1003314915 | The Anti-aging Clinic of Northwest Florida | Obstetrics & Gynecology | 3019 Osprey Cir, Panama City, FL 32405 | 2018-01-25 |
| 1255848487 | Sarah Theriot | Social Worker | 700 W 23rd St Bldg H, Panama City, FL 32405 | 2018-01-09 |
| 1336686054 | Angela Leake | Registered Nurse | 449 W 23 St, Panama City, FL 32405 | 2017-01-20 |
| Find all providers in zip 32405 | ||||
| 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 |
|---|---|---|---|---|
| 1003302027 | Pruitthealth - Panama City, LLC | Skilled Nursing Facility | 3212 Jenks Ave, Panama City, FL 32405-4224 | 2018-07-02 |
| 1619414752 | Hugo1corp | Skilled Nursing Facility | 2515 E Business 98, Panama City, FL 32401-4702 | 2017-01-27 |
| 1780011296 | Genesis Rehab Services | Skilled Nursing Facility | 2819 Tracy Lynn Ct, Panama City, FL 32405-7215 | 2013-09-28 |
| 1770855934 | Lavie Rehab | Skilled Nursing Facility | 636 Tyndall Pkwy, Panama City, FL 32404 | 2012-02-03 |
| 1255591798 | Nf Glen Cove LLC | Skilled Nursing Facility | 1027 E Highway Business 98, Panama City, FL 32401 | 2008-06-09 |
| 1306940606 | Lisenby Lllp | Skilled Nursing Facility | 1400 West Eleventh Street, Panama City, FL 32401-1896 | 2006-09-08 |
| 1700832466 | Gulf Coast Health Care Associates LLC | Skilled Nursing Facility | 1937 Jenks Ave, Panama City, FL 32405-4510 | 2006-05-25 |
| 1063485118 | Fsl-panama City, LLC | Skilled Nursing Facility | 2100 Jenks Ave, Panama City, FL 32405-4530 | 2006-02-09 |
| 1154305688 | Community Health and Rehabilitation Center | Skilled Nursing Facility | 3611 Transmitter Rd, Panama City, FL 32404-9799 | 2005-11-29 |
| 1063404754 | Cordova Rehab Inc | Skilled Nursing Facility | 1027 E. Highway Business 98, Panama City, FL 32401-3632 | 2005-08-18 |
| Find all providers in PANAMA CITY | ||||
| City | PANAMA CITY |
| Zip Code | 32405 |
Please comment or provide details below to improve the information on 1937 JENKS AVENUE OPERATIONS LLC.
| 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.