Manor Care of Winter Park FL, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1309096 Issued in FL

Legal business name

MANOR CARE OF WINTER PARK FL, LLC

Doing business as

ManorCare Nursing & Rehabilitation Center- Winter Park

Practice address

2075 Loch Lomond Dr
Winter Park, FL 32792-4183

Phone

(407) 628-5418

Fax

(407) 628-4024

NPI assigned

May 30, 2006

Last updated

May 17, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Martin D Allen

Title

Director

Phone

(419) 252-5734

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ManorCare Nursing & Rehabilitation Center- Winter Park Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Manorcare Health Services LLC

  dba ProMedica Skilled Nursing and Rehabilitation (Lely Palms)

  • Skilled Nursing Facility
  • Naples, FL
  • NPI 1366499535

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1033166475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST",
            "address_2": "ATTN: MARTIN D. ALLEN",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041531",
            "telephone_number": "419-252-5734",
            "fax_number": "877-385-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 LOCH LOMOND DR",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924183",
            "telephone_number": "407-628-5418",
            "fax_number": "407-628-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR CARE OF WINTER PARK FL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "419-252-5734",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1309096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032527900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ManorCare Nursing & Rehabilitation Center- Winter Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shirley Ribeiro de Souza Manetta, PMHNP-BC
• Krista Bailey Manganiello, M.A.
• Hendane Manigat
• Ashley Megan Manning, MSW
• Laura C Manon Garcia
• Lydia Powell Marble, OTR/L
• Ermithe Marcelin
• David March, PH.D., LMHC, CAP
• Anthony Marco, PA-C
• Jordan Marczewski, OTR/L

• Skilled Nursing Facility in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.