East Bay Rehabilitation Center

LBN: East Bay Nc, Llc
East Bay Rehabilitation Center is an health care organization with primary practice located at 4470 E Bay Dr , Clearwater FL 33764-5772. 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. East Bay Nc, Llc can be contacted via phone (727) 530-7100, or through Kellett, Samuel B via phone (404) 233-7048.

Contact Information

Primary practice address
4470 E Bay Dr Clearwater FL 33764-5772
Fax: (727) 539-8024
Website:
Authorized official contact:
Name: Kellett, Samuel B

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF11340962 Florida

Profile Details

NPI number 1598752180
LBN Legal business name East Bay Nc, Llc
DBA Doing business as East Bay Rehabilitation Center
Authorized official Kellett, Samuel B
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2005
Last updated Jan 30th, 2009 - about 16 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 1598752180 NPPES
Other V516P-6822 VA
MEDICAID 026453900 VA

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