ST MARK VILLAGE INC (NPI# 1821182544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821182544 |
| Entity Type | Organization |
| Organization Name | ST MARK VILLAGE INC |
| Practice Address |
2655 Nebraska Ave Palm Harbor FL 34684 |
| Practice Telephone | 7277852577 |
| Practice Fax Number | 7277866835 |
| Mailing Telephone | 7277852577 |
| Mailing Fax Number | 7277866835 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2018-01-30 |
| Authorized Official Name | CYNTHIA POHL (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7277852577 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | SNF1522096 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 031084100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699281337 | St Mark Village Inc | Assisted Living Facility | 880 Highlands Blvd, Palm Harbor, FL 34684-2827 | 2017-12-18 |
| 1033619846 | St Mark Village Inc | Clinic/Center | 2655 Nebraska Ave, Palm Harbor, FL 34684-2630 | 2018-02-19 |
| 1588170229 | St Mark Village Inc | Assisted Living Facility | 2655 Nebraska Ave, Palm Harbor, FL 34684-2630 | 2017-12-18 |
| Street Address |
2655 NEBRASKA AVE |
| City | PALM HARBOR |
| State | FL |
| Zip Code | 34684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427026012 | Wendy Whipple Dahmer | Physical Therapist | 2655 Nebraska Ave, Palm Harbor, FL 34684-2630 | 2006-03-09 |
| 1033619846 | St Mark Village Inc | Clinic/Center | 2655 Nebraska Ave, Palm Harbor, FL 34684-2630 | 2018-02-19 |
| 1588170229 | St Mark Village Inc | Assisted Living Facility | 2655 Nebraska Ave, Palm Harbor, FL 34684-2630 | 2017-12-18 |
| 1891041422 | Matthew Carrier | Physical Therapy Assistant | 2655 Nebraska Ave, Palm Harbor, FL 34684-2630 | 2012-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265042147 | Patrick Curry | Nurse Practitioner | 2815 Us-19 Alt, Suite B, Palm Harbor, FL 34684 | 2020-08-05 |
| 1649897059 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 2375 Curlew Road, Palm Harbor, FL 34684 | 2020-07-01 |
| 1679068142 | Barbara Purcell | Hearing Instrument Specialist | 34026 Us Hwy 19 N, Palm Harbor, FL 34684 | 2018-06-27 |
| 1134623507 | Virginia Lynn Kappel | Behavior Technician | 3371 Preakness Place, Apt. 1309, Palm Harbor, FL 34684 | 2018-03-21 |
| 1093228587 | Cosmetic Medicine Enterprises Inc | Otolaryngology | 34156 Us Hwy 19 N, Palm Harbor, FL 34684 | 2017-11-07 |
| 1821512088 | Robin Ann Polizzi | Registered Nurse | 3474 Rolling Trail, Palm Harbor, FL 34684 | 2017-07-31 |
| 1699202846 | Allied Care Services, LLC | Non-emergency Medical Transport (VAN) | 231 Morgan Ct, Palm Harbor, FL 34684 | 2017-05-18 |
| 1730632522 | Fox Chase Emergency Physicians LLC | Physician Assistant | 35750 Us 19 North, Palm Harbor, FL 34684 | 2016-07-27 |
| 1881052983 | Sandra Hanna | Pharmacist | 2583 Country Grove Blvd, Palm Harbor, FL 34684 | 2016-02-03 |
| 1629453469 | Jesse H Rodriguez | Nurse Practitioner | 2595 Tampa Rd. Suite S&t, Palm Harbor, FL 34684 | 2015-07-22 |
| Find all providers in zip 34684 | ||||
| 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 |
|---|---|---|---|---|
| 1962425041 | 2600 Highlands Boulevard North LLC | Skilled Nursing Facility | 2600 Highlands Blvd N, Palm Harbor, FL 34684-2114 | 2006-07-26 |
| 1881641645 | Manor Care of Palm Harbor Fl LLC | Skilled Nursing Facility | 2851 Tampa Rd, Palm Harbor, FL 34684-3314 | 2006-05-27 |
| 1396791349 | Countryside Health Care Associates LLC | Skilled Nursing Facility | 3825 Countryside Blvd N, Palm Harbor, FL 34684-4928 | 2006-05-25 |
| 1417481813 | Willeen Woodall | Skilled Nursing Facility | 31790 Us Highway 19 N, Unit 252, Palm Harbor, FL 34684-3729 | 2017-04-12 |
| 1518378504 | Karl Sandzimier | Skilled Nursing Facility | 3825 Countryside Blvd N, Palm Harbor, FL 34684-4928 | 2014-05-13 |
| 1063781839 | 3825 Countryside Boulevard Operations LLC | Skilled Nursing Facility | 3825 Countryside Blvd N, Palm Harbor, FL 34684-4928 | 2011-12-22 |
| 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 | PALM HARBOR |
| Zip Code | 34684 |
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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.