PENSACOLA SNF LLC (NPI# 1669466173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669466173 |
| Entity Type | Organization |
| Organization Name | PENSACOLA SNF LLC |
| Other Organization Name | SOUTHERN OAKS REHAB & NURSING CENTER |
| Practice Address |
600 W Gregory St Pensacola FL 32502-4744 |
| Mailing Address |
600 W. Gregory St. Pensacola FL 32502 |
| Practice Telephone | 8504373131 |
| Practice Fax Number | 8504373733 |
| Mailing Telephone | 8504373131 |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2009-11-25 |
| Authorized Official Name | MR. SAM KRAVETZ (A/R) |
| Authorized Official Telephone | 7329421344 |
| Authorized Official Credential | BILLING MANAGER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | 14993 | FL | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 1566096 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 026063100 | 05 |
| Other Name | Type Code |
|---|---|
| Southern Oaks Rehab & Nursing Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871779215 | Pensacola Snf LLC | Durable Medical Equipment & Medical Supplies | 600 W Gregory St, Pensacola, FL 32502-4744 | 2008-01-16 |
| Street Address |
600 W GREGORY ST |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32502-4744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295112258 | Southern Oaks Facility Inc | Skilled Nursing Facility | 600 W Gregory St, Pensacola, FL 32502-4744 | 2015-04-29 |
| 1902202799 | Luis Chacon | Occupational Therapy Assistant | 600 W Gregory St, Pensacola, FL 32502-4744 | 2014-11-06 |
| 1871779215 | Pensacola Snf LLC | Durable Medical Equipment & Medical Supplies | 600 W Gregory St, Pensacola, FL 32502-4744 | 2008-01-16 |
| 1053591065 | Claire A Petrie | Nurse Practitioner | 600 W Gregory St, Pensacola, FL 32502 | 2007-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275199762 | Anita Kay Morris | Marriage & Family Therapist | 25 W Cedar St Ste 205, Pensacola, FL 32502 | 2019-05-10 |
| 1013409028 | Everydaydoctor Inc | Internal Medicine | 13 Palafox Pl Ste 200, Pensacola, FL 32502 | 2018-06-05 |
| 1780119115 | Felisha Palmer | Nurse's Aide | 619 W Gregory St Apt A, Pensacola, FL 32502 | 2017-04-24 |
| 1619428257 | Young Men's Christian Association of Northwest Florida, Inc. | Health Educator | 165 E.intendencia Street, Pensacola, FL 32502 | 2016-10-19 |
| 1972968386 | Lauren Reeves | Counselor | 435 E Zarragossa St, Pensacola, FL 32502 | 2015-12-30 |
| 1902202492 | Amabel Arquillano | Physical Therapist | 600 West Gregory Street, Pensacol, FL 32502 | 2014-11-10 |
| 1639579568 | Community Experiences LLC | Home Health | 321 N Devillers St Suite 221, Pensacola, FL 32502 | 2014-08-28 |
| 1831523612 | Our Lady of Angels, St. Joseph Medical Clinic, Inc | Clinic/Center | 131 W. Intendencia St., Pensacola, FL 32502 | 2013-08-28 |
| 1295013266 | Sabrina Gail Evans | Family Medicine | 236 West Garden Street, Pensacola, FL 32502 | 2011-07-25 |
| 1356538771 | Optum Infusion Services 204, Inc. | Pharmacy | 201 N. Tarragona Street, Pensacola, FL 32502 | 2007-09-30 |
| Find all providers in zip 32502 | ||||
| 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 |
|---|---|---|---|---|
| 1154981504 | Nf Nine Mile, LLC | Skilled Nursing Facility | 9310 Fowler Avenue, Pensacola, FL 32534 | 2019-06-18 |
| 1144752148 | Nf Escambia, LLC | Skilled Nursing Facility | 8325 University Pkwy, Pensacola, FL 32514-4949 | 2017-03-29 |
| 1437319258 | Fl Hud Bayside, LLC | Skilled Nursing Facility | 4343 Langley Avenue, Pensacola, FL 32504-8511 | 2008-06-16 |
| 1689761611 | Baptist Hospital Inc. | Skilled Nursing Facility | 1000 West Moreno St, Pensacola, FL 32501 | 2006-10-10 |
| 1285651000 | The Health Center of Pensacola, Inc. | Skilled Nursing Facility | 8475 University Pkwy, Pensacola, FL 32514-4917 | 2006-07-16 |
| 1346296985 | Cross Creek Health Care Associates LLC | Skilled Nursing Facility | 10040 Hillview Rd, Pensacola, FL 32514-5499 | 2006-05-25 |
| 1700861051 | Sv - Jupiter Properties Inc | Skilled Nursing Facility | 1717 W Avery St, Pensacola, FL 32501-1811 | 2005-12-09 |
| 1366434276 | Delta Health Group Inc | Skilled Nursing Facility | 3107 N H St, Pensacola, FL 32501-1111 | 2005-08-17 |
| 1255323143 | Delta Health Group Inc | Skilled Nursing Facility | 4343 Langley Ave, Pensacola, FL 32504-8511 | 2005-08-17 |
| 1417949306 | Delta Health Group Inc | Skilled Nursing Facility | 6984 Pine Forest Rd, Pensacola, FL 32526-8908 | 2005-08-17 |
| Find all providers in PENSACOLA | ||||
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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.