LAVIE REHAB (NPI# 1568733020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568733020 |
| Entity Type | Organization |
| Organization Name | LAVIE REHAB |
| Practice Address |
626 N Tyndall Pkwy Panama City FL 32404-6132 |
| Mailing Address |
802 Flight Ave Panama City FL 32404-5967 |
| Practice Telephone | 8508713836 |
| Mailing Telephone | 8508194911 |
| Enumeration Date | 2012-01-15 |
| Last Update Date | 2012-01-15 |
| Authorized Official Name | CHRIS A MANFREDI (COTA/L) |
| Authorized Official Telephone | 8508194911 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | FL OTA 303 | FL | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770855934 | Lavie Rehab | Skilled Nursing Facility | 636 Tyndall Pkwy, Panama City, FL 32404 | 2012-02-03 |
| Street Address |
626 N TYNDALL PKWY |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32404-6132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366909269 | Jennifer Daniels | Occupational Therapy Assistant | 626 N Tyndall Pkwy, Panama City, FL 32404-6132 | 2019-02-27 |
| 1073093449 | Heather Jean Pruett | Occupational Therapy Assistant | 626 N Tyndall Pkwy, Panama City, FL 32404-6132 | 2018-08-15 |
| 1700305604 | Kriserica Dawn Davis | Physical Therapy Assistant | 626 N Tyndall Pkwy, Panama City, FL 32404-6132 | 2017-09-12 |
| 1467901637 | Alexis Kathryn Taylor | Physical Therapy Assistant | 626 N Tyndall Pkwy, Panama City, FL 32404-6132 | 2016-09-28 |
| 1467847137 | Ashley Perez | Occupational Therapy Assistant | 626 N Tyndall Pkwy, Panama City, FL 32404-6132 | 2015-03-31 |
| 1235544461 | Felicia Cain | Physical Therapy Assistant | 626 N Tyndall Pkwy, Panama City, FL 32404-6132 | 2014-06-26 |
| 1053723619 | Danyel Yerington | Occupational Therapy Assistant | 626 N Tyndall Pkwy, Panama City, FL 32404-6132 | 2014-05-29 |
| 1780006932 | Jessica Miller | Occupational Therapist | 626 N Tyndall Pkwy, Panama City, FL 32404-6132 | 2014-01-07 |
| 1568895803 | Joann D Sullivan | Physical Therapist | 626 N Tyndall Pkwy, Panama City, FL 32404-6132 | 2013-08-09 |
| 1154692788 | Donavan Lea Melton | Occupational Therapist | 626 N Tyndall Pkwy, Panama City, FL 32404-6132 | 2012-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508278854 | Wayne Harris | Non-emergency Medical Transport (VAN) | 4826 Mccall Ln, Panama City, FL 32404 | 2014-05-21 |
| 1417384769 | Yolanda M Tingler | Social Worker | 7334 Highway 2311, Panama City, FL 32404 | 2013-10-02 |
| 1326482381 | Lydia Ann Rosenberger | Nurse Practitioner | 3520 East 15th Streett, Panama City, FL 32404 | 2013-04-22 |
| 1114288651 | Carly D Taulbee | Physical Therapy Assistant | 626 S Tyndall Pkwy, Panama City, FL 32404 | 2012-05-31 |
| 1770855934 | Lavie Rehab | Skilled Nursing Facility | 636 Tyndall Pkwy, Panama City, FL 32404 | 2012-02-03 |
| 1760695431 | Corey J Seymour | Military Health Care Provider | 4837 Mccall Ln, Panama City, FL 32404 | 2007-05-08 |
| 1336361625 | Vicky Perkins Whitfield | Pharmacist | 3621 Us Hwy 231 N., Panama City, FL 32404 | 2007-05-03 |
| 1528280807 | John Charles Peacock Sr. | Pharmacist | 3621 Us Hwy 231 North, Panama City, FL 32404 | 2007-05-03 |
| 1184782906 | Shelley Isenberg Hickman | Occupational Therapist | 5441 Nehi Rd, Panama City, FL 32404 | 2006-12-05 |
| 1629151931 | Kenneth Michael Plumley | Physician Assistant | 5620 Cherry St, Callaway, FL 32404 | 2006-10-23 |
| Find all providers in zip 32404 | ||||
| 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 | 32404 |
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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.