SF Brevard, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SF BREVARD, LLC

Practice address

298 SW Prosperity Place
Lake City, FL 32024

Phone

(833) 623-3093

Fax

(833) 623-3093

NPI assigned

Feb 20, 2019

Organization subpart

Yes

Parent organization

FLORIDA FACILITIES, LLCAs reported in NPPES

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

Authorized official

Name

James Richardson

Title

President

Phone

(850) 430-0000

Specialties & licenses 1

Addresses

Other names 1

• The Rehabilitation Center of Lake City Doing business as

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1083170534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 SW PROSPERITY PLACE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "32024",
            "telephone_number": "833-623-3093",
            "fax_number": "833-623-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 SW PROSPERITY PLACE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "32024",
            "telephone_number": "833-623-3093",
            "fax_number": "833-623-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SF BREVARD, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA FACILITIES, LLC",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-430-0000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Rehabilitation Center of Lake City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katryna Jo Sessions, PHARM.D
• Joseph Setchel
• Lisa Renee Setty, PHARM.D
• Pramila Anjaneya Setty, MD
• Kayla Severance, DPT
• Brian Sganga, PTA
• Britany Kay Shaheen
• Shands at Lake Shore Inc
• Shands at Lake Shore Inc
• Shands at Lake Shore Inc

• All providers in Lake City, FL
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.