Spring Lake Rehabilitation Center

LBN: Spring Lake Nc, Llc
Spring Lake Rehabilitation Center is an health care organization with primary practice located at 1540 6Th St Nw , Winter Haven FL 33881-2368. 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. Spring Lake Nc, Llc can be contacted via phone (863) 294-3055, or through Kellett, Samuel B. via phone (404) 233-7048.

Contact Information

Primary practice address
1540 6Th St Nw Winter Haven FL 33881-2368
Phone: (863) 294-3055
Fax: (863) 294-4210
Website:
Map and Directions
Authorized official contact:
Name: Kellett, Samuel B.
Phone: (404) 233-7048

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF15110961 Florida

Profile Details

NPI number 1366439952
LBN Legal business name Spring Lake Nc, Llc
DBA Doing business as Spring Lake Rehabilitation Center
Authorized official Kellett, Samuel B.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2005
Last updated Jul 29th, 2014 - about 10 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 1366439952 NPPES
Florida MEDICAID 026457100
Florida Other V673P-5338

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