Delray Nursing and Rehab LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

DELRAY NURSING AND REHAB LLC

Doing business as

Condor Rehabilitation Center

Practice address

2105 SW 11TH CT FL 33445
Delray Beach, FL 33445-6013

Phone

(561) 454-1136

NPI assigned

Sep 30, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Tricia Thacker

Title

Ceo

Phone

(813) 558-6600

Specialties & licenses 1

Addresses

Other names 1

• Condor Rehabilitation Center Doing business as

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1073331914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 SW 11TH CT FL 33445",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456013",
            "telephone_number": "561-454-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 SW 11TH CT FL 33445",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456013",
            "telephone_number": "561-454-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELRAY NURSING AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "THACKER",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-558-6600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Condor Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Delray Medical Center, Inc. (Pinecrest Rehabilitation Hospital)
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• Delray Medical Physician Services LLC
• Delray Modern Chiropractic Center PA
• Delray Nursing and Rehab LLC (The Cascades Health and Rehabilitation Center)
• Delray Optical Service Inc
• Delray Oral Surgery, Inc
• Delray Pediatrics
• Delray Pharmacy

• Skilled Nursing Facility in Delray Beach, FL
• Providers in Delray Beach, 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 Sep 30, 2024; 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.