Pine Lake Nursing Home

LBN: Pl Nursing Center Llc
Pine Lake Nursing Home is an health care organization with primary practice located at 13455 W Us 90 , Greenville FL 32331-4318. 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. Pl Nursing Center Llc can be contacted via phone (850) 948-4601, or through Robaina, Nelson via phone (305) 864-9191.

Contact Information

Primary practice address
13455 W Us 90 Greenville FL 32331-4318
Phone: (850) 948-4601
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Robaina, Nelson
Phone: (305) 864-9191

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF1438096 Florida

Profile Details

NPI number 1679730196
LBN Legal business name Pl Nursing Center Llc
DBA Doing business as Pine Lake Nursing Home
Authorized official Robaina, Nelson
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2008
Last updated May 21st, 2008 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1679730196 NPPES
Florida MEDICAID 021401900

Popular Providers