ST JOHNS REHABILITATION HOSPITAL AND NURSING CENTER INC (NPI# 1578559902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578559902 |
Entity Type | Organization |
Organization Name | ST JOHNS REHABILITATION HOSPITAL AND NURSING CENTER INC |
Other Organization Name | ST JOHNS NURSING CENTER |
Practice Address |
3075 Nw 35th Ave Lauderdale Lakes FL 33311-1107 |
Practice Telephone | 9547396233 |
Practice Fax Number | 9547339579 |
Mailing Telephone | 9547396233 |
Mailing Fax Number | 9547339579 |
Enumeration Date | 2005-09-21 |
Last Update Date | 2020-01-30 |
Authorized Official Name | ROSEMARIE BAILEY (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 9547396233 |
Authorized Official Credential | NHA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 313M00000X | Nursing Facility/Intermediate Care Facility | ========= | FL | Nursing & Custodial Care Facilities |
Y | 314000000X | Skilled Nursing Facility | SNF1520096 | FL | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 020580000 | 05 |
Other Name | Type Code |
---|---|
ST JOHNS NURSING CENTER | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124016688 | St Johns Rehabilitation Hospital and Nursing Center Inc | Clinic/Center | 3487 Nw 30th St, Lauderdale Lakes, FL 33311-1103 | 2005-10-10 |
Street Address |
3075 NW 35TH AVE |
City | LAUDERDALE LAKES |
State | FL |
Zip Code | 33311-1107 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851820922 | Mirza Medical Pa | Internal Medicine | 3075 Nw 35th Ave, Lauderdale Lakes, FL 33311-1107 | 2017-06-12 |
1578823886 | Herbert Goldwire Pa | Nurse Practitioner | 3075 Nw 35th Ave, Lauderdale Lakes, FL 33311-1107 | 2012-05-21 |
1548545601 | Practitioner Medical Services Inc | Clinic/Center | 3075 Nw 35th Ave, Lauderdale Lakes, FL 33311-1107 | 2011-10-19 |
1669763462 | Nova Southeastern University, Inc | Dentist | 3075 Nw 35th Ave, Lauderdale Lakes, FL 33311-1107 | 2011-04-27 |
1841521002 | Marie Michelle Carner | Nurse Practitioner | 3075 Nw 35th Ave, Lauderdale Lakes, FL 33311-1107 | 2010-01-27 |
1811923352 | Clinton Jules | Specialist | 3075 Nw 35th Ave, Lauderdale Lakes, FL 33311-1107 | 2006-06-25 |
1184679318 | Catholic Home Health Services of Broward Inc | Home Health | 3075 Nw 35th Ave, Lauderdale Lakes, FL 33311-1107 | 2006-05-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699390336 | Rosenie B Jasmin | Family Medicine | Dove Medical Centers, LLC, 2901 West Oakland Park Blvd Ste A4-5, Oakland Park, FL 33311 | 2020-06-09 |
1942769534 | Cbd Skeletal Solutions, LLC | Durable Medical Equipment & Medical Supplies | 630 Tennis Club Drive, Outerbridge - 407, Ft. Lauderdale, FL 33311 | 2019-03-14 |
1770049116 | Jordan Matthew Nodelman | Social Worker | 871 W Oakland Park Boulevard, Oakland Park, FL 33311 | 2019-02-11 |
1417422304 | Carebridge Home Health of Flrorida | Home Health | 1871 West Oakland Park Blvd, Suite E, Oakland Park, FL 33311 | 2018-10-08 |
1992287130 | Michael Ray Johnson | Counselor | 900 Nw 31 Ave, Suite #2000, Ft Laud, FL 33311 | 2018-09-04 |
1477047058 | Latino Medical Center IIi | General Practice | 3670 W Oakland Blvd, Lauderdale Lakes, FL 33311 | 2018-06-18 |
1316442049 | Anita Fox | Non-emergency Medical Transport (VAN) | 2880 West Oakland Park Blvd, 234, Oakland Park, FL 33311 | 2018-03-26 |
1669995957 | Lola J Lewis-walker | Nurse Practitioner | 925 Nw 14th St, Fort Lauderdale, FL 33311 | 2017-07-19 |
1598294936 | Abigail D Garcia | Counselor | 713 Nw 1st Ave, Fort Lauderdale, FL 33311 | 2017-06-08 |
1548712524 | Hubert Faustin | Counselor | 1409 Nw 1st Avenue, Fort Lauderdale, FL 33311 | 2016-10-26 |
Find all providers in zip 33311 |
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 |
---|---|---|---|---|
1184680506 | Palms of Lauderdale Lakes | Skilled Nursing Facility | 3370 Nw 47th Ter, Lauderdale Lakes, FL 33319-6701 | 2006-04-25 |
1790172286 | Palms Facility Inc | Skilled Nursing Facility | 3370 Nw 47th Ter, Lauderdale Lakes, FL 33319-6701 | 2015-04-22 |
1811042286 | Palms of Lauderdale Lakes The LLC | Skilled Nursing Facility | 3370 Nw 47th Ter, Lauderdale Lakes, FL 33319-6701 | 2007-01-24 |
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 | LAUDERDALE LAKES |
Zip Code | 33311 |
Please comment or provide details below to improve the information on ST JOHNS REHABILITATION HOSPITAL AND NURSING CENTER INC.
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.