Palm Garden Of Tampa

LBN: Sa Pg-Tampa Llc
Palm Garden Of Tampa is an health care organization with primary practice located at 3612 E 138Th Ave , Tampa FL 33613-4703. 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. Sa Pg-Tampa Llc can be contacted via phone (813) 972-8775, or through Paley, Alex via phone (914) 390-4363.

Contact Information

Primary practice address
3612 E 138Th Ave Tampa FL 33613-4703
Phone: (813) 972-8775
Fax: (813) 978-0680
Website:
Map and Directions
Authorized official contact:
Name: Paley, Alex
Phone: (914) 390-4363

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF1420095 Florida

Profile Details

NPI number 1629074851
LBN Legal business name Sa Pg-Tampa Llc
DBA Doing business as Palm Garden Of Tampa
Authorized official Paley, Alex
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2005
Last updated Jul 22nd, 2008 - 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 1629074851 NPPES
Florida MEDICAID 025752400

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