<Unavail>

LBN: Scg Gracewood Llc
<Unavail> is an health care organization with primary practice located at 8600 Us Highway 19 N , Pinellas Park FL 33782. 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. Scg Gracewood Llc can be contacted via phone (727) 541-7515, or through Goyer, Kevin via phone (813) 341-2700.

Contact Information

Primary practice address
8600 Us Highway 19 N Pinellas Park FL 33782
Phone: (727) 541-7515
Fax: (727) 545-9473
Website:
Map and Directions
Authorized official contact:
Name: Goyer, Kevin
Phone: (813) 341-2700

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH4155 Florida

Profile Details

NPI number 1255333290
LBN Legal business name Scg Gracewood Llc
DBA Doing business as <Unavail>
Authorized official Goyer, Kevin
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2005
Last updated Jan 12th, 2015 - about 11 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 1255333290 NPPES
Florida MEDICAID 031664400
Florida Other L85

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