Palm Garden Of Winter Haven

LBN: Sa-Pg-Winter Haven Llc
Palm Garden Of Winter Haven is an health care organization with primary practice located at 1120 Cypress Gardens Blvd , Winter Haven FL 33884-1919. 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-Winter Haven Llc can be contacted via phone (863) 293-3100, or through Paley, Alex via phone (914) 390-4363.

Contact Information

Primary practice address
1120 Cypress Gardens Blvd Winter Haven FL 33884-1919
Fax: (863) 291-0578
Website:
Authorized official contact:
Name: Paley, Alex

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF1414096 Florida

Profile Details

NPI number 1730185976
LBN Legal business name Sa-Pg-Winter Haven Llc
DBA Doing business as Palm Garden Of Winter Haven
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 1730185976 NPPES
Florida MEDICAID 025732000

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