Williston Rehabilitation and Nursing Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WILLISTON REHABILITATION AND NURSING CENTER LLC

Doing business as

Williston Rehabilitation and Nursing Center

Practice address

300 NW 1St Ave
Williston, FL 32696-2006

Phone

(352) 528-3561

NPI assigned

Aug 28, 2006

Organization subpart

No

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

Authorized official

Name

Tzvi Bogomilsky

Title

Member

Phone

(305) 401-7901

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Williston Rehabilitation and Nursing Center Doing business as

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1053429266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 NE MIAMI GARDENS DR",
            "address_2": "#368",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331795035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NW 1ST AVE",
            "city": "WILLISTON",
            "state": "FL",
            "postal_code": "326962006",
            "telephone_number": "352-528-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLISTON REHABILITATION AND NURSING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "BOGOMILSKY",
        "authorized_official_first_name": "TZVI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "305-401-7901"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031758600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williston Rehabilitation and Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Williston Family Practice,PA
• Williston Health Care Center, LLC
• Williston Nursing and Rehab LLC
• Williston Pediatrics, Inc
• Williston Pediatrics, Inc
• Williston Rural Health and Wellness Clinic LLC

• Skilled Nursing Facility in Williston, FL
• Providers in Williston, 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 Aug 20, 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.