Port Charlotte Rehabilitation Center

LBN: Deep Creek Rnc, Llc
Port Charlotte Rehabilitation Center is an health care organization with primary practice located at 25325 Rampart Blvd , Port Charlotte FL 33983. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Deep Creek Rnc, Llc can be contacted via phone (941) 629-7466, or through Kellett, Samuel B via phone (404) 233-7048.

Contact Information

Primary practice address
25325 Rampart Blvd Port Charlotte FL 33983
Phone: (941) 629-7466
Fax: (941) 629-9053
Website:
Map and Directions
Authorized official contact:
Name: Kellett, Samuel B
Phone: (404) 233-7048

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF14260961 Florida

Profile Details

NPI number 1679560262
LBN Legal business name Deep Creek Rnc, Llc
DBA Doing business as Port Charlotte Rehabilitation Center
Authorized official Kellett, Samuel B
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2005
Last updated Jun 12th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679560262 NPPES
Other V516P-6820 VA
MEDICAID 0319325 00 VA

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