Promise Hospital of Florida at the Villages, Inc.

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

Legal business name

PROMISE HOSPITAL OF FLORIDA AT THE VILLAGES, INC.

Practice address

5050 County Road 472
Oxford, FL 34484-3750

Phone

(561) 869-3100

NPI assigned

Apr 8, 2011

Organization subpart

No

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

Authorized official

Name

Mr. James Hopwood

Title

Cfo

Phone

(561) 869-3100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 100317

Legal name

PROMISE HOSPITAL OF FLORIDA AT THE VILLAGES

Certification status

Terminated Voluntary: merger or closure, Jun 30, 2012

Provider type (POS)

Hospital – Short-term

Participating since

Nov 17, 2011

Last certification

Oct 21, 2011

Beds

40

Ownership / control type

Private (for profit)

Facility address

5050 County Road 472
Oxford, FL 34484

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523318400000",
    "number": "1053601211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 YAMATO ROAD",
            "address_2": "3RD FLOOR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33431",
            "telephone_number": "561-869-3100",
            "fax_number": "561-826-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 COUNTY ROAD 472",
            "city": "OXFORD",
            "state": "FL",
            "postal_code": "344843750",
            "telephone_number": "561-869-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMISE HOSPITAL OF FLORIDA AT THE VILLAGES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-08",
        "last_updated": "2018-04-10",
        "status": "A",
        "authorized_official_last_name": "HOPWOOD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "561-869-3100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Long Term Care Hospital in Oxford, FL
• Providers in Oxford, FL by specialty
• Long Term Care Hospital in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.