THE PAVILION AT HEALTHPARK, LLC (NPI# 1932435187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932435187 |
| Entity Type | Organization |
| Organization Name | THE PAVILION AT HEALTHPARK, LLC |
| Other Organization Name | PARK ROYAL HOSPITAL |
| Practice Address |
9241 Park Royal Drive Ft. Myers FL 33908 |
| Mailing Address |
6100 Tower Cir Ste 1000 Franklin TN 37067-1509 |
| Practice Telephone | 2399852760 |
| Practice Fax Number | 2399852790 |
| Mailing Telephone | 6158616000 |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2018-10-12 |
| Authorized Official Name | MR. CHRISTOPHER L. HOWARD (VP & SECRETARY) |
| Authorized Official Telephone | 6158616000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | FL | Hospital Units |
| Other Name | Type Code |
|---|---|
| Park Royal Hospital | Doing Business As Name - Organization |
| Street Address |
9241 PARK ROYAL DRIVE |
| City | FT. MYERS |
| State | FL |
| Zip Code | 33908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
| 1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
| 1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
| 1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
| 1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
| 1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
| Find all providers in zip 33908 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760810550 | Vipsych Pllc | Psychiatric Unit | 5895 Lake Melrose Dr, Orlando, FL 32829-7690 | 2013-10-15 |
| 1154687382 | Lee Care, Inc. | Psychiatric Unit | 833 Eisenhower Blvd, Lehigh Acres, FL 33974-3603 | 2012-04-02 |
| 1952634644 | Kareen Aristide | Psychiatric Unit | 851 Nw 151st St, Miami, FL 33169-6103 | 2009-09-12 |
| 1659493476 | University of Miami Hospital and Clinics | Psychiatric Unit | 1475 Nw 12th Ave # C-023a, Miami, FL 33136-1002 | 2007-04-04 |
| 1467527358 | Tania M. Holly | Psychiatric Unit | Uf, Department of Psychiatry 1600 Sw Archer Road, Gainesville, FL 32610 | 2006-11-24 |
| 1457448037 | Baptist Hospital Inc. | Psychiatric Unit | 1101 W Moreno St, Pensacola, FL 32501-2317 | 2006-10-06 |
| 1265529887 | Memorial Hospital West Volusia Inc | Psychiatric Unit | 701 W. Plymouth Avenue, Deland, FL 32720-3236 | 2006-10-06 |
| 1033211180 | Adventist Health System-sunbelt Inc | Psychiatric Unit | 1210 Us 27 N, Lake Placid, FL 33852-7948 | 2006-09-01 |
| 1063422327 | Springbrook Hospital | Psychiatric Unit | 7007 Grove Rd, Brooksville, FL 34609-8610 | 2006-08-09 |
| 1881632818 | St. Joseph's Hospital, Inc. | Psychiatric Unit | 3001 W Dr Mlk Jr Blvd, Tampa, FL 33607-6307 | 2006-06-03 |
| 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.