Organization Active NPI

Harborside Rehabilitation LP

  • Nursing Care Agency
  • Palm Harbor, FL
National Provider Identifier
1114048675
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
611 Issued in FL
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

Updated by the provider on Mar 19, 2008

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Harborside Rehabilitation LP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.