South Campus Rehabilitation And Nursing Center

LBN: Dixie Highway Snf Llc
South Campus Rehabilitation And Nursing Center is an health care organization with primary practice located at 715 E Dixie Ave , Leesburg FL 34748-5926. 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. Dixie Highway Snf Llc can be contacted via phone (352) 728-3020, or through Bogomilsky, Tzvi via phone (305) 403-1400.

Contact Information

Primary practice address
715 E Dixie Ave Leesburg FL 34748-5926
Phone: (352) 728-3020
Fax: (352) 728-6071
Website:
Map and Directions
Authorized official contact:
Name: Bogomilsky, Tzvi
Phone: (305) 403-1400

Health care specialties

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

Profile Details

NPI number 1073866166
LBN Legal business name Dixie Highway Snf Llc
DBA Doing business as South Campus Rehabilitation And Nursing Center
Authorized official Bogomilsky, Tzvi
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2012
Last updated Dec 6th, 2012 - about 13 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 1073866166 NPPES
Florida MEDICAID 025295600

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