Village On The Isle

LBN: Southwest Florida Retirement Center
Village On The Isle is an health care organization with primary practice located at 910 Tamiami Trl S , Venice FL 34285-3629. 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. Southwest Florida Retirement Center can be contacted via phone (941) 486-5420, or through Wilson, Kathleen via phone (941) 486-5421.

Contact Information

Primary practice address
910 Tamiami Trl S Venice FL 34285-3629
Fax: (941) 486-5498
Website:
Authorized official contact:
Name: Wilson, Kathleen CPA

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF1509096 Florida

Profile Details

NPI number 1881681328
LBN Legal business name Southwest Florida Retirement Center
DBA Doing business as Village On The Isle
Authorized official Wilson, Kathleen CPA
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2005
Last updated Nov 7th, 2016 - about 8 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 1881681328 NPPES
Florida MEDICAID 021046300

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