NPIMap

Organization Active NPI

Desoto Health & Rehab LLC

Doing business as Desoto Health & Rehab

  • Skilled Nursing Facility
  • Arcadia, FL
National Provider Identifier
1043266497
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF11270961 Issued in FL
Legal business name
DESOTO HEALTH & REHAB LLC
Doing business as
Desoto Health & Rehab
Practice address
1002 N Brevard Ave
Arcadia, FL 34266-8833
Phone
(863) 494-5766
Fax
(863) 494-9470
NPI assigned
May 26, 2006
Last updated
Jan 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Authorized official

Name
Mr. Philip James Castleberg, NHA
Title
Partner
Phone
(863) 494-5766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF11270961 FL Primary

Addresses

Primary practice location

1002 N Brevard Ave
Arcadia, FL 34266-8833

Mailing address

1002 N Brevard Ave
Arcadia, FL 34266-8833
Phone (863) 494-5766

Other names 1

  • Desoto Health & Rehab Doing business as

National Provider Directory

National Provider Directory

Locations

1002 N Brevard Ave
Arcadia, FL 34266
Phone (863) 494-5766

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1043266497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 N BREVARD AVE",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342668833",
            "telephone_number": "863-494-5766",
            "fax_number": "863-494-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 N BREVARD AVE",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342668833",
            "telephone_number": "863-494-5766",
            "fax_number": "863-494-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESOTO HEALTH & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "CASTLEBERG",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "863-494-5766",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF11270961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desoto Health & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arcadia, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.