ABBIEJEAN RUSSELL CARE CENTER, LLC (NPI# 1770595738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770595738 |
| Entity Type | Organization |
| Organization Name | ABBIEJEAN RUSSELL CARE CENTER, LLC |
| Practice Address |
700 S 29th St Fort Pierce FL 34947-3626 |
| Practice Telephone | 7724657560 |
| Practice Fax Number | 7724655619 |
| Mailing Telephone | 7724657560 |
| Mailing Fax Number | 7724655619 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2012-07-31 |
| Authorized Official Name | MARIA ELVA GONZALEZ (OWNER) |
| Authorized Official Telephone | 7863854364 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | SNF10020961 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 026875500 | 05 | |
| FL | BLUE CROSS BLUE SHIELD | M4K | 01 |
| Street Address |
700 S 29TH ST |
| City | FORT PIERCE |
| State | FL |
| Zip Code | 34947-3626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598381584 | Ft Pierce Fl Opco LLC | Skilled Nursing Facility | 700 S 29th St, Fort Pierce, FL 34947-3626 | 2020-06-25 |
| 1891342879 | Marissa G Chin | Student in an Organized Health Care Education/Training Program | 700 S 29th St, Fort Pierce, FL 34947-3626 | 2019-08-23 |
| 1144784612 | Jessica Bottoms | Occupational Therapy Assistant | 700 S 29th St, Fort Pierce, FL 34947-3626 | 2019-01-29 |
| 1255814950 | Ellis Barrett Winepol | Physical Therapy Assistant | 700 S 29th St, Fort Pierce, FL 34947-3626 | 2018-09-10 |
| 1831688506 | Latricia Denise Frasier | Occupational Therapist | 700 S 29th St, Fort Pierce, FL 34947-3626 | 2018-05-08 |
| 1861921165 | Jamie Davis | Physical Therapy Assistant | 700 S 29th St, Fort Pierce, FL 34947-3626 | 2017-06-08 |
| 1952835712 | Cocoa River Therapy, LLC | Clinic/Center | 700 S 29th St, Fort Pierce, FL 34947-3626 | 2017-04-18 |
| 1992117907 | Lynda-jean Richardson | Physical Therapy Assistant | 700 S 29th St, Fort Pierce, FL 34947-3626 | 2014-05-25 |
| 1417373630 | Luisa Balingit Cortez | Physical Therapist | 700 S 29th St, Fort Pierce, FL 34947-3626 | 2014-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982174215 | Jennifer Denise Williams | Home Health Aide | 1301 South 33rd Street, Fort Pierce, FL 34947 | 2018-11-29 |
| 1811391345 | Shaikh International Medicine, LLC | Internal Medicine | 2504 Acorn St, Suite A, Ft Pierce, FL 34947 | 2014-10-13 |
| 1851728083 | Home Sweet Home of The Treasurwe Coast, Inc. | Assisted Living Facility | 3201 Avenue Q, Fort Pierce, FL 34947 | 2013-10-02 |
| 1831488469 | Gayle Freeman Jones | In Home Supportive Care | 3414 Sloan Rd, Fort Pierce, FL 34947 | 2011-04-05 |
| 1134370927 | Chelsea Lauren Pepera | Licensed Practical Nurse | 1816 South 31st Street, Fort Pierce, FL 34947 | 2008-10-10 |
| 1790971364 | Orion Cardiovascular, IIi | Clinic/Center | 1803 S 25th Street, Ste 1, Ft. Pierce, FL 34947 | 2007-09-18 |
| 1659441236 | Diagnostic Radiology Center of The Treasure Coast | Radiology | 2011 South 25th St, Suite 106, Ft Pierce, FL 34947 | 2006-11-09 |
| 1538245758 | Oswaldo Daniel Benitez Sr. | Family Medicine | 408 South 25th Street, Fort Pierce, FL 34947 | 2006-10-31 |
| 1689786774 | Ajay Kumar Goyal | Radiology | 2011 S 25th St, Suite 106, Fort Pierce, FL 34947 | 2006-08-31 |
| 1649340258 | Ajay K Goyal Md Pa | Radiology | 2011 South 25th St, Suite 106, Ft Pierce, FL 34947 | 2006-11-09 |
| Find all providers in zip 34947 | ||||
| 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 |
|---|---|---|---|---|
| 1225524259 | Infectious Disease Consultants, LLC | Skilled Nursing Facility | 13 Harbour Isle Dr W Ph 2, Fort Pierce, FL 34949-2765 | 2018-07-02 |
| 1730135716 | Fort Pierce Health Care Associates LLC | Skilled Nursing Facility | 611 S 13th St, Fort Pierce, FL 34950-4054 | 2006-05-25 |
| 1245217926 | Integrated Health Services At Central Florida Inc | Skilled Nursing Facility | 703 S 29th St, Fort Pierce, FL 34947-3625 | 2005-12-23 |
| 1598381584 | Ft Pierce Fl Opco LLC | Skilled Nursing Facility | 700 S 29th St, Fort Pierce, FL 34947-3626 | 2020-06-25 |
| 1750872982 | Laurel Point Care Acquisition LLC | Skilled Nursing Facility | 703 S 29th St, Fort Pierce, FL 34947-3625 | 2018-05-23 |
| 1447529185 | 611 South 13th Street Operations LLC | Skilled Nursing Facility | 611 S 13th St, Fort Pierce, FL 34950-4054 | 2011-12-27 |
| 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 | FORT PIERCE |
| Zip Code | 34947 |
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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.