HEALTH SERVICES OF PALATKA (NPI# 1669625463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669625463 |
| Entity Type | Organization |
| Organization Name | HEALTH SERVICES OF PALATKA |
| Other Organization Name | PALATKA HEALTH CARE CENTER |
| Practice Address |
110 Kay Larkin Dr Palatka FL 32177-2300 |
| Mailing Address |
124 Peters Ct Freeport FL 32439-6646 |
| Practice Telephone | 3863250173 |
| Mailing Telephone | 8508306355 |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2008-12-02 |
| Authorized Official Name | MR. SIDNEY DUANE GALLAGHER (PRESIDENT) |
| Authorized Official Telephone | 8508306355 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Palatka Health Care Center | Doing Business As Name - Organization |
| Street Address |
110 KAY LARKIN DR |
| City | PALATKA |
| State | FL |
| Zip Code | 32177-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003833831 | The Health Center of Palatka, Inc. | Skilled Nursing Facility | 110 Kay Larkin Dr, Palatka, FL 32177-2300 | 2006-07-17 |
| 1164034153 | Elizabeth Anne Jones | Occupational Therapy Assistant | 110 Kay Larkin Dr, Palatka, FL 32177-2300 | 2020-08-20 |
| 1255984548 | Kaitlyn Jernigan | Speech-Language Pathologist | 110 Kay Larkin Dr, Palatka, FL 32177-2300 | 2019-07-16 |
| 1104383892 | Faith Whitehead | Occupational Therapy Assistant | 110 Kay Larkin Dr, Palatka, FL 32177-2300 | 2019-02-28 |
| 1447721220 | Bryce Thornton | Occupational Therapy Assistant | 110 Kay Larkin Dr, Palatka, FL 32177-2300 | 2018-12-05 |
| 1336619444 | Jennifer S Carvalho | Physical Therapy Assistant | 110 Kay Larkin Dr, Palatka, FL 32177-2300 | 2018-11-30 |
| 1083189286 | Aaron Allan Cherry | Occupational Therapy Assistant | 110 Kay Larkin Dr, Palatka, FL 32177-2300 | 2018-10-04 |
| 1306333117 | Solaris Healthcare Palatka LLC | Skilled Nursing Facility | 110 Kay Larkin Dr, Palatka, FL 32177-2300 | 2018-04-17 |
| 1235322314 | Helen Champagne | Physical Therapy Assistant | 110 Kay Larkin Dr, Palatka, FL 32177-2300 | 2007-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124176 | Charlie Douglas | Pharmacist | 1024 South State Road 19, Pharmacy, Palatka, FL 32177 | 2020-11-05 |
| 1275090359 | Carol M Kazounis | Dietitian, Registered | 2801 Kennedy Strett, Palatka, FL 32177 | 2019-02-26 |
| 1447744768 | Pulido Internal Medicine | Nurse Practitioner | 700 Zeagler Drive, Suite 1, Palatka, FL 32177 | 2018-06-20 |
| 1063922656 | Ronald Michael Wendt | Nurse Practitioner | 3703 Crill Ave, Palatka, FL 32177 | 2017-10-09 |
| 1043560212 | Leslie Ann Lewis | Massage Therapist | 325 Poinsetta Ave, Palatka, FL 32177 | 2012-09-14 |
| 1285984963 | Walgreens | Pharmacy | 719 South State Road 19, Palatka, FL 32177 | 2012-09-11 |
| 1841549235 | Audrey M Russell | Pharmacy Technician | 719 Hwy 19 South, Palatka, FL 32177 | 2012-08-31 |
| 1194023838 | Sherry D. Michael | Licensed Practical Nurse | 330 Kay Larkin Dr., Palatka, FL 32177 | 2011-03-04 |
| 1083846364 | Patricia Kowalchuk | Occupational Therapy Assistant | 6050 St.johns Ave., Suite A, Palatka, FL 32177 | 2009-08-20 |
| 1609015320 | Robin Calhoun | Occupational Therapist | 611 Zeagler Dr., Palatka, FL 32177 | 2009-02-19 |
| Find all providers in zip 32177 | ||||
| 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 |
|---|---|---|---|---|
| 1003833831 | The Health Center of Palatka, Inc. | Skilled Nursing Facility | 110 Kay Larkin Dr, Palatka, FL 32177-2300 | 2006-07-17 |
| 1023010071 | Crestwood Nursing Center Inc | Skilled Nursing Facility | 501 S Palm Ave, Palatka, FL 32177-4147 | 2005-08-10 |
| 1881230803 | Crestwood Operations LLC | Skilled Nursing Facility | 501 S Palm Ave, Palatka, FL 32177-4147 | 2019-11-25 |
| 1306333117 | Solaris Healthcare Palatka LLC | Skilled Nursing Facility | 110 Kay Larkin Dr, Palatka, FL 32177-2300 | 2018-04-17 |
| 1295274546 | Jennifer Dye Standridge | Skilled Nursing Facility | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2017-02-20 |
| 1558417295 | Putnam Community Medical Center LLC | Skilled Nursing Facility | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2007-01-26 |
| 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 | ||||
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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.