Organization Active NPI

Heritage Health Care Associates LLC

Doing business as Bay Breeze Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Venice, FL
National Provider Identifier
1073569661
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF1223096 Issued in FL
Legal business name
HERITAGE HEALTH CARE ASSOCIATES LLC
Doing business as
Bay Breeze Health and Rehabilitation Center
Practice address
1026 Albee Farm Rd
Venice, FL 34285-6213
Phone
(941) 484-0425
Fax
(941) 484-6203
NPI assigned
May 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Authorized official

Name
Louis P. Maltaghati
Title
Manager
Phone
(941) 484-0425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF1223096 FL Primary

Addresses

Primary practice location

1026 Albee Farm Rd
Venice, FL 34285-6213

Mailing address

1026 Albee Farm Rd
Venice, FL 34285-6213
Phone (941) 484-0425

Other identifiers 1

IdentifierTypeStateIssuer
025227100MedicaidFL

Other names 1

  • Bay Breeze Health and Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1073569661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 ALBEE FARM RD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342856213",
            "telephone_number": "941-484-0425",
            "fax_number": "941-484-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 ALBEE FARM RD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342856213",
            "telephone_number": "941-484-0425",
            "fax_number": "941-484-6203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HEALTH CARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "MALTAGHATI",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "941-484-0425"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1223096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025227100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Breeze Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.