Palm Garden Of Clearwater
LBN: Sa-Pg-Clearwater Llc
Palm Garden Of Clearwater is an health care organization with primary practice located at 3480 N Mcmullen Booth Rd , Clearwater FL 33761-1421. 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-Clearwater Llc can be contacted via phone (727) 786-6697, or through Paley, Alex via phone (914) 390-4363.
Contact Information
Primary practice address
3480 N Mcmullen Booth Rd
Clearwater FL 33761-1421
Phone: (727) 786-6697
Fax: (727) 781-0516
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | SNF1407096 | Florida |
Profile Details
| NPI number | 1750387965 |
|---|---|
| LBN Legal business name | Sa-Pg-Clearwater Llc |
| DBA Doing business as | Palm Garden Of Clearwater |
| Authorized official | Paley, Alex |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Jul 22nd, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750387965 | NPPES |
| Florida | MEDICAID | 025746000 |
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