PALM COAST HEALTH CARE ASSOCIATES LLC (NPI# 1104872795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104872795 |
Entity Type | Organization |
Organization Name | PALM COAST HEALTH CARE ASSOCIATES LLC |
Other Organization Name | GRAND OAKS HEALTH AND REHABILITATION CENTER |
Practice Address |
3001 Palm Coast Pkwy Se Palm Coast FL 32137-8209 |
Practice Telephone | 3864466060 |
Practice Fax Number | 3864466033 |
Mailing Telephone | 3864466060 |
Mailing Fax Number | 3864466033 |
Enumeration Date | 2006-05-25 |
Last Update Date | 2012-08-02 |
Authorized Official Name | DONNA J. SMITH (MANAGER) |
Authorized Official Telephone | 3864466060 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | SNF130470968 | FL | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 025240900 | 05 |
Other Name | Type Code |
---|---|
Grand Oaks Health and Rehabilitation Center | Doing Business As Name - Organization |
Street Address |
3001 PALM COAST PKWY SE |
City | PALM COAST |
State | FL |
Zip Code | 32137-8209 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740770940 | Kaitlyn Maurene Clark | Speech-Language Pathologist | 3001 Palm Coast Pkwy Se, Palm Coast, FL 32137-8209 | 2018-05-14 |
1104342955 | Aislynn Christine Fulton | Speech-Language Pathologist | 3001 Palm Coast Pkwy Se, Palm Coast, FL 32137-8209 | 2017-08-14 |
1720524606 | Jale Lomeli | Occupational Therapy Assistant | 3001 Palm Coast Pkwy Se, Palm Coast, FL 32137-8209 | 2017-01-16 |
1033654645 | Joanne Mcgunnigle Strickland | Speech-Language Pathologist | 3001 Palm Coast Pkwy Se, Palm Coast, FL 32137-8209 | 2017-01-05 |
1922414804 | Rodney Shamblin | Physical Therapy Assistant | 3001 Palm Coast Pkwy Se, Palm Coast, FL 32137-8209 | 2014-07-11 |
1699030361 | Pamela Brown Lewis | Physical Therapy Assistant | 3001 Palm Coast Pkwy Se, Palm Coast, FL 32137-8209 | 2012-07-09 |
1467718536 | Sarah Lynn Schulte | Physical Therapy Assistant | 3001 Palm Coast Pkwy Se, Palm Coast, FL 32137-8209 | 2012-04-03 |
1063778207 | Claudia G Pierce | Speech-Language Pathologist | 3001 Palm Coast Pkwy Se, Palm Coast, FL 32137-8209 | 2012-04-02 |
1760754832 | Donna M Mauz | Speech-Language Pathologist | 3001 Palm Coast Pkwy Se, Palm Coast, FL 32137-8209 | 2012-02-03 |
1457623670 | Julie Gaines | Speech-Language Pathologist | 3001 Palm Coast Pkwy Se, Grand Oaks Health and Rehab, Palm Coast, FL 32137 | 2012-02-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922617505 | Palm Coast Alf Management LLC | Assisted Living Facility | 3830 Old Kings Road, Palm Coast, FL 32137 | 2020-07-29 |
1093324964 | Akilah Collins | Behavior Technician | 515 Palm Coast Pwky Sw, Suite 6, Palm Coast, FL 32137 | 2020-07-27 |
1750929477 | Jeanette Ann Stevens | Technician | 1 Lema Place, Palm Coast, FL 32137 | 2019-12-12 |
1649816919 | Patrick Meyer | Occupational Therapy Assistant | 9 Pine Cone Drive, Palm Coast, Palm Coast, FL 32137 | 2019-11-21 |
1689230385 | Coastal Care Medical Transport | Non-emergency Medical Transport (VAN) | #2b, 1 Hargrove Grde, Palm Coast, FL 32137 | 2019-05-17 |
1407357437 | Palm Coast Counseling, LLC | Counselor | 1 Hargrove Grade, Ste B-1, Palm Coast, FL 32137 | 2018-02-25 |
1679081459 | Lance J Langston | Behavior Technician | 2 Crosstie Ct, Palm Coast, FL 32137 | 2018-01-16 |
1407360712 | Hanna Mercedes Brown | Behavior Technician | 515 Palm Coast Pkwy, Suite 6/7, Palm Coast, FL 32137 | 2017-11-22 |
1760994511 | Sophia's Choice Hands That Help, LLC | Custodial Care Facility | 119 Bud Hollow Dr, Palm Coast, FL 32137 | 2017-11-02 |
1922543255 | Megan Katherine Dickerson | Physical Therapist | 250 Palm Coast Pkwy Ne Unit 209a, Palm Coast, FL 32137 | 2016-12-22 |
Find all providers in zip 32137 |
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 |
---|---|---|---|---|
1720359185 | Genesis Rehab Services | Skilled Nursing Facility | 3001 Palm Coast Pkwy Se, Palm Coast, FL 32137-8209 | 2012-01-17 |
1083983720 | 3001 Palm Coast Parkway Operations LLC | Skilled Nursing Facility | 3001 Palm Coast Pkwy Se, Palm Coast, FL 32137-8209 | 2011-12-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306444708 | Center for Comprehensive Services, Inc. | Skilled Nursing Facility | 2411 Clement Rd, Lutz, FL 33549-5552 | 2020-10-16 |
1114530227 | Jupiter Rehab and Health Center LLC | Skilled Nursing Facility | 650 Pioneer Rd # 5, Jupiter, FL 33458-8834 | 2020-08-28 |
1821601089 | Wellington Rehab and Health Center, LLC | Skilled Nursing Facility | 10330 Nu Vista Ave, Wellington, FL 33414 | 2020-08-27 |
1043822349 | Oaks of Kissimmee Operations LLC | Skilled Nursing Facility | 320 N. Mitchell St, Kissimmee, FL 34741-4447 | 2020-08-18 |
1720690027 | Brynwood Operations LLC | Skilled Nursing Facility | 1656 S Jefferson St, Monticello, FL 32344-1652 | 2020-08-18 |
1326668120 | Key West Nursing Home Propco LLC | Skilled Nursing Facility | 5860 College Road, Key West, FL 33040 | 2020-04-21 |
1740800655 | Javara Troupe | Skilled Nursing Facility | 10043 Victory Gallop Loop, Ruskin, FL 33573-6744 | 2020-04-21 |
1578199303 | First Coast Health Ventures, LLC | Skilled Nursing Facility | 15480 Max Leggett Parkway, Jacksonville, FL 32218 | 2020-03-12 |
1053944116 | Pruitthealth - Southwood, LLC | Skilled Nursing Facility | 2301 Bluff Oak Way, Tallahassee, FL 32311-6161 | 2020-02-18 |
1992336895 | Dolphin Pointe Health Care, LLC | Skilled Nursing Facility | 5355 Dolphin Point Rd., Jacksonville, FL 32211 | 2020-01-29 |
Find all providers with the same taxonomy |
City | PALM COAST |
Zip Code | 32137 |
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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.