Palm Bay Health Care Associates LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF130470985 Issued in FL

Legal business name

PALM BAY HEALTH CARE ASSOCIATES LLC

Doing business as

Palms Rehabilitation and Healthcare Center, The

Practice address

5405 Babcock St NE
Palm Bay, FL 32905-5020

Phone

(321) 722-0660

Fax

(321) 722-2669

NPI assigned

May 26, 2006

Last updated

Dec 30, 2013By 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

Amy Patrick

Title

Manager

Phone

(321) 722-0660

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Palms Rehabilitation and Healthcare Center, The Doing business as

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388361600000",
    "number": "1043266455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 BABCOCK ST NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329055020",
            "telephone_number": "321-722-0660",
            "fax_number": "321-722-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 BABCOCK ST NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329055020",
            "telephone_number": "321-722-0660",
            "fax_number": "321-722-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BAY HEALTH CARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2013-12-30",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "321-722-0660"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF130470985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025239500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palms Rehabilitation and Healthcare Center, The",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Palm Bay, FL
• Providers in Palm Bay, 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 Dec 30, 2013; 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.