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
Phone: (863) 293-3100
Fax: (863) 291-0578
Website:
Health care specialties
| Specialty | Code | License # | 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 17 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 | 1730185976 | NPPES |
| Florida | MEDICAID | 025732000 |
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