Palm Coast Health Care Associates LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF130470968 Issued in FL

Legal business name

PALM COAST HEALTH CARE ASSOCIATES LLC

Practice address

3001 Palm Coast Pkwy SE
Palm Coast, FL 32137-8209

Phone

(386) 446-6060

Fax

(386) 446-6033

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

Donna J. Smith

Title

Manager

Phone

(386) 446-6060

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Grand Oaks Health and Rehabilitation Center Doing business as

Locations

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1104872795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 PALM COAST PKWY SE",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378209",
            "telephone_number": "386-446-6060",
            "fax_number": "386-446-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 PALM COAST PKWY SE",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378209",
            "telephone_number": "386-446-6060",
            "fax_number": "386-446-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM COAST HEALTH CARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "386-446-6060"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF130470968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025240900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Oaks Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Palm Coast Acupuncture LLC
• Palm Coast Alf Management LLC
• Palm Coast Cardiovascular Institute PL
• Palm Coast Counseling, LLC
• Palm Coast Dental, LLC
• Palm Coast Health Care Services, LLC
• Palm Coast Internal Medicine PA
• Palm Coast Mobile Physical Therapy Services
• Palm Coast Oncology
• Palm Coast Optical Co. Inc.

• Skilled Nursing Facility in Palm Coast, FL
• Providers in Palm Coast, 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 2, 2012; 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.