Cordova Rehab Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF11740962 Issued in FL

Legal business name

CORDOVA REHAB INC

Practice address

1027 E. Highway Business 98
Panama City, FL 32401-3632

Phone

(850) 872-1438

Fax

(850) 763-9711

NPI assigned

Aug 18, 2005

Organization subpart

No

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

Authorized official

Name

Scott J Bell

Title

Ceo President

Phone

(850) 430-0000

Specialties & licenses 1

Addresses

Other names 1

• Glencove Nursing Pavilion Doing business as

Locations

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063404754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 N PALAFOX ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025631",
            "telephone_number": "850-430-0000",
            "fax_number": "850-436-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 E. HIGHWAY BUSINESS 98",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013632",
            "telephone_number": "850-872-1438",
            "fax_number": "850-763-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORDOVA REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "850-430-0000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF11740962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glencove Nursing Pavilion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Cornerstone Behavioral Consulting, LLC.
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• Skilled Nursing Facility in Panama City, FL
• Providers in Panama City, 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 22, 2020; 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.