ST JOHNS REHABILITATION HOSPITAL AND NURSING CENTER INC


Address: 3075 Nw 35th Ave, Lauderdale Lakes, FL 33311-1107
Phone: 9547396233

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
FL 020580000 05

Other Provider/Organization Names

Other Name Type Code
ST JOHNS NURSING CENTER Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 3075 NW 35TH AVE
City LAUDERDALE LAKES
State FL
Zip Code 33311-1107

Providers in the same location

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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

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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
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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
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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
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306444708 Center for Comprehensive Services, Inc. Skilled Nursing Facility 2411 Clement Rd, Lutz, FL 33549-5552 2020-10-16
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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
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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
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Competitor

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City LAUDERDALE LAKES
Zip Code 33311

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Dataset Information

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.

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