Active NPI
Harborside Rehabilitation LP
- Nursing Care Agency
- Palm Harbor, FL
National Provider Identifier
1114048675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- 611
- Legal business name
- HARBORSIDE REHABILITATION LP
- Practice address
- 2602 Highlands Blvd N
Palm Harbor, FL 34684-2114 - Phone
- (800) 276-4556
- Fax
- (727) 786-6265
- NPI assigned
- Apr 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James Edward Cocke
- Title
- President
- Phone
- (800) 276-4556
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | 611 | FL | Primary |
| Nursing Care Agency | 251J00000X | TZ9G | MA | |
| Nursing Care Agency | 251J00000X | NPA00019 | RI |
Addresses
Primary practice location
2602 Highlands Blvd N
Palm Harbor, FL 34684-2114
Mailing address
2602 Highlands Blvd N
Palm Harbor, FL 34684-2114
Phone (800) 276-4556
Other names 1
- ReadyNurse Staffing Services
National Provider Directory
National Provider Directory- Tax ID family
- Harborside Rehabilitation LP
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Palm Harbor, FL
- NPI 1508151929
Locations
2602 Highlands Blvd N
Palm Harbor, FL 34684
Phone (800) 276-4556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205884800000",
"number": "1114048675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2602 HIGHLANDS BLVD N",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346842114",
"telephone_number": "800-276-4556",
"fax_number": "727-786-6265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2602 HIGHLANDS BLVD N",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346842114",
"telephone_number": "800-276-4556",
"fax_number": "727-786-6265"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARBORSIDE REHABILITATION LP",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-03",
"last_updated": "2008-03-19",
"status": "A",
"authorized_official_last_name": "COCKE",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "800-276-4556",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "FL",
"license": "611",
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "MA",
"license": "TZ9G",
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "RI",
"license": "NPA00019",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ReadyNurse Staffing Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.