South Heritage Health & Rehab Center

LBN: Senior Health-South Heritage, Llc
South Heritage Health & Rehab Center is an health care organization with primary practice located at 718 Lakeview Ave S , St Petersburg FL 33705-3004. 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. Senior Health-South Heritage, Llc can be contacted via phone (727) 894-5125, or through Jaffe, Howard via phone (215) 346-6454.

Contact Information

Primary practice address
718 Lakeview Ave S St Petersburg FL 33705-3004
Phone: (727) 894-5125
Fax: (727) 894-6839
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 SNF15030961 Florida

Profile Details

NPI number 1598769200
LBN Legal business name Senior Health-South Heritage, Llc
DBA Doing business as South Heritage Health & Rehab Center
Authorized official Jaffe, Howard
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2005
Last updated Oct 5th, 2012 - 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 1598769200 NPPES
Florida MEDICAID 022636000

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