5065 WALLIS ROAD OPERATIONS LLC (NPI# 1891064549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891064549 |
| Entity Type | Organization |
| Organization Name | 5065 WALLIS ROAD OPERATIONS LLC |
| Other Organization Name | RENAISSANCE HEALTH AND REHABILITATION |
| Practice Address |
5065 Wallis Rd West Palm Beach FL 33415-1947 |
| Practice Telephone | 5616891799 |
| Practice Fax Number | 5616404603 |
| Mailing Telephone | 5616891799 |
| Mailing Fax Number | 5616404603 |
| Enumeration Date | 2011-12-27 |
| Last Update Date | 2020-05-15 |
| Authorized Official Name | KENNETH USSERY (VP) |
| Authorized Official Telephone | 4075711550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | SNF1198096 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 004778700 | 05 |
| Other Name | Type Code |
|---|---|
| Renaissance Health and Rehabilitation | Doing Business As Name - Organization |
| Street Address |
5065 WALLIS RD |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33415-1947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588619340 | West Palm Beach Health Care Associates LLC | Skilled Nursing Facility | 5065 Wallis Rd, West Palm Beach, FL 33415-1947 | 2006-05-23 |
| 1508392960 | Roosdele Bossicot | Speech-Language Pathologist | 5065 Wallis Rd, West Palm Beach, FL 33415-1947 | 2017-05-04 |
| 1518416296 | Sheena Morton | Occupational Therapy Assistant | 5065 Wallis Rd, West Palm Beach, FL 33415-1947 | 2016-09-23 |
| 1164872313 | Ladonna Meikle | Occupational Therapist | 5065 Wallis Rd, West Palm Beach, FL 33415-1947 | 2016-06-20 |
| 1225459670 | Amia Solivera | Occupational Therapist | 5065 Wallis Rd, West Palm Beach, FL 33415-1947 | 2014-01-02 |
| 1972937910 | Kristen Elizabeth Whalen | Speech-Language Pathologist | 5065 Wallis Rd, West Palm Beach, FL 33415-1947 | 2013-08-27 |
| 1841564879 | Clarissa Del Carmen Martinez | Occupational Therapist | 5065 Wallis Rd, West Palm Beach, FL 33415-1947 | 2012-03-08 |
| 1861533093 | Carol Cahalin | Family Medicine | 5065 Wallis Rd, West Palm Beach, FL 33415-1947 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326670613 | Briana Howard | Social Worker | 631-sea Pine Way F2, Greenacres, FL 33415 | 2020-02-05 |
| 1023648821 | Belen Home Care | Assisted Living Facility | 4584 Sutton Terra South, West Palm Beach, FL 33415 | 2020-01-21 |
| 1013556315 | Titan Chiropractic & Rehab | Chiropractor | 655 N Military Trail Ste 9, West Palm Beach, FL 33415 | 2020-01-03 |
| 1467006916 | Bradley Martin | Student in an Organized Health Care Education/Training Program | 5189 Pine Abbey Drive South, West Palm Beach, FL 33415 | 2019-08-01 |
| 1508370131 | Lisa Palmieri | Physical Therapist | 5056 Wallis Rd, West Palm Beach, FL 33415 | 2017-11-17 |
| 1093233637 | Anay Piloto Garcia | Behavior Technician | 1851 W Chatham Rd, West Palm Beach, FL 33415 | 2017-09-05 |
| 1356897631 | Leida C Alarcon | Technician, Other | 2221 White Pine Cir Apt D, Greenacres, FL 33415 | 2016-08-28 |
| 1689061996 | Antonio Cruz | Physical Therapy Assistant | 2939 S Haverhill Road, Wpb, FL 33415 | 2015-04-24 |
| 1780019034 | Michele Thune | Nurse Practitioner | 942 Scott Dr, West Palm Beach, FL 33415 | 2013-09-05 |
| 1780017657 | Genesis Rehab Services | Skilled Nursing Facility | 6414 13th Rd. South, Woodlake, West Palm Beach, FL 33415 | 2013-08-15 |
| Find all providers in zip 33415 | ||||
| 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 |
|---|---|---|---|---|
| 1780017657 | Genesis Rehab Services | Skilled Nursing Facility | 6414 13th Rd. South, Woodlake, West Palm Beach, FL 33415 | 2013-08-15 |
| 1942412614 | Florida Preferred Care Health Facilities IIi, Inc | Skilled Nursing Facility | 1101 54th St, West Palm Beach, FL 33407-2419 | 2007-05-04 |
| 1386796217 | Joseph L Morse Health Center, Inc. | Skilled Nursing Facility | 4847 David S Mack Dr, West Palm Beach, FL 33417-8023 | 2007-01-18 |
| 1679667158 | Dos of Palm Beach, Inc. | Skilled Nursing Facility | 1101 54 Street, West Palm Beach, FL 33407-2419 | 2006-10-02 |
| 1811913718 | Consolidated Resources Health Care Fund I, L.p. | Skilled Nursing Facility | 2501 N Australian Ave, West Palm Beach, FL 33407-5638 | 2006-07-14 |
| 1811937295 | Tandem Health Care of West Palm Beach, Inc. | Skilled Nursing Facility | 1626 Davis Rd, West Palm Beach, FL 33406-5640 | 2006-06-07 |
| 1083651483 | Manor Care of W. Palm Beach Fl, LLC | Skilled Nursing Facility | 2300 Village Blvd, West Palm Beach, FL 33409-7390 | 2006-06-02 |
| 1255387601 | Wood Lake Health Care Associates LLC | Skilled Nursing Facility | 6414 13th Rd S, West Palm Beach, FL 33415-1401 | 2006-05-26 |
| 1952356313 | Coral Bay Health Care Associates LLC | Skilled Nursing Facility | 2939 S Haverhill Rd, West Palm Beach, FL 33415-8118 | 2006-05-24 |
| 1588619340 | West Palm Beach Health Care Associates LLC | Skilled Nursing Facility | 5065 Wallis Rd, West Palm Beach, FL 33415-1947 | 2006-05-23 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33415 |
Please comment or provide details below to improve the information on 5065 WALLIS ROAD OPERATIONS 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.