Community Convalescent Center

LBN: Ltcsp Plant City, Llc
Community Convalescent Center is an health care organization with primary practice located at 2202 W Oak Ave , Plant City FL 33563-7222. 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. Ltcsp Plant City, Llc can be contacted via phone (813) 754-3761, or through Jaffe, Howard via phone (215) 346-6454.

Contact Information

Primary practice address
2202 W Oak Ave Plant City FL 33563-7222
Phone: (813) 754-3761
Fax: (813) 754-5301
Website:
Map and Directions
Authorized official contact:
Name: Jaffe, Howard
Phone: (215) 346-6454

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF1099096 Florida

Profile Details

NPI number 1447255534
LBN Legal business name Ltcsp Plant City, Llc
DBA Doing business as Community Convalescent Center
Authorized official Jaffe, Howard
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2005
Last updated Dec 21st, 2013 - about 12 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 1447255534 NPPES
Florida MEDICAID 028191300

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