LTC OF OSCEOLA LLC (NPI# 1801940176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801940176 |
| Entity Type | Organization |
| Organization Name | LTC OF OSCEOLA LLC |
| Other Organization Name | OSCEOLA HEALTH CARE CENTER |
| Practice Address |
4201 W New Nolte Rd Saint Cloud FL 34772-7100 |
| Practice Telephone | 4079573341 |
| Practice Fax Number | 4079578521 |
| Mailing Telephone | 4079573341 |
| Mailing Fax Number | 4079578521 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2008-02-04 |
| Authorized Official Name | MR. BOB PATE (ADMINISTRATOR) |
| Authorized Official Telephone | 4079573341 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | SNF1398096 | FL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Osceola Health Care Center | Doing Business As Name - Organization |
| Street Address |
4201 W NEW NOLTE RD |
| City | SAINT CLOUD |
| State | FL |
| Zip Code | 34772-7100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770734923 | Osceola Nursing and Rehabilitation Inc | Skilled Nursing Facility | 4201 W New Nolte Rd, Saint Cloud, FL 34772-7100 | 2008-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780110940 | Caitlin Smith | Speech-Language Pathologist | 1113 Creek Woods Circle, Saint Cloud, FL 34772 | 2017-05-10 |
| 1073069787 | Yolimar Vazquez | Specialist/Technologist | 2332 Seven Oaks Dr, Saint Cloud, FL 34772 | 2016-09-01 |
| 1881041903 | Diana Barreto | Counselor | 4205 Cracker Ct, St.cloud, FL 34772 | 2016-05-18 |
| 1356713267 | Gilbert Saenz | Counselor | 4622 Mildred Bass Road, St. Cloud, FL 34772 | 2015-10-30 |
| 1841532025 | Origin Hospitality LLC | Assisted Living Facility | 2910 Old Canoe Creek Rd, Saint Cloud, FL 34772 | 2013-03-26 |
| 1912264037 | Mario Gregorio Rodriguez | Skilled Nursing Facility | 3056 Sandstone Circle, St Cloud, FL 34772 | 2012-04-13 |
| 1356479182 | Ramon Roman Jr. | Counselor | 3640 Doe Run Dr., St. Cloud, FL 34772 | 2007-03-01 |
| 1619451085 | Sunny Path Therapy | Speech-Language Pathologist | 1113 Creek Woods Circle, Saint Cloud, FL 34772 | 2018-09-20 |
| 1154807329 | Brunella Denegri | Behavior Technician | 1300 Creekview Ct, Saint Cloud, FL 34772 | 2018-07-11 |
| 1720452436 | Comfortable Care Dental Health Professionals, Pa | Dentist | 2301 Old Canoe Creek Rd, St. Cloud, FL 34772 | 2015-11-18 |
| Find all providers in zip 34772 | ||||
| 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 |
|---|---|---|---|---|
| 1083165021 | Solaris Healthcare Osceola LLC | Skilled Nursing Facility | 4201 Nolte Rd, Saint Cloud, FL 34772-7158 | 2016-10-14 |
| 1790041341 | Eliomar Figueroa | Skilled Nursing Facility | 5151 Little Ln, Saint Cloud, FL 34771-9649 | 2012-04-09 |
| 1134490766 | Kenneth Moore | Skilled Nursing Facility | 751 Orange Ave, Saint Cloud, FL 34769-3063 | 2012-01-12 |
| 1073677167 | Avante At St. Cloud, Inc. | Skilled Nursing Facility | 1301 Kansas Ave, Saint Cloud, FL 34769-5921 | 2006-12-21 |
| 1790731594 | Plantation Bay Health Care Associates LLC | Skilled Nursing Facility | 4641 Old Canoe Creek Rd, Saint Cloud, FL 34769-1550 | 2006-05-25 |
| 1902881253 | Osceola St Cloud Limited Partnership | Skilled Nursing Facility | 3855 Old Canoe Creek Rd, Saint Cloud, FL 34769-6628 | 2005-12-09 |
| 1053318303 | Northwest Health Care, Inc | Skilled Nursing Facility | 1717 University Dr Se, Saint Cloud, MN 56304-2023 | 2005-07-01 |
| 1902808249 | St. Cloud Hospital | Skilled Nursing Facility | 1810 Minnesota Blvd, Saint Cloud, MN 56304-2436 | 2005-06-01 |
| 1184142069 | St Cloud Opco LLC | Skilled Nursing Facility | 3855 Old Canoe Creek Rd, Saint Cloud, FL 34769-6628 | 2017-08-31 |
| 1033641352 | Aspen Medical Staffing | Skilled Nursing Facility | 1894 37th St Se, Saint Cloud, MN 56304-9508 | 2017-03-28 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 34772 |
Please comment or provide details below to improve the information on LTC OF OSCEOLA LLC.
| 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.