Active NPI
Spring Hill Health Care Associates LLC
- Skilled Nursing Facility
- Brooksville, FL
National Provider Identifier
1114973740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- SNF130470973
- Legal business name
- SPRING HILL HEALTH CARE ASSOCIATES LLC
- Doing business as
- Spring Hill Health and Rehabilitation Center
- Practice address
- 12170 Cortez Blvd
Brooksville, FL 34613-5578 - Phone
- (352) 597-5100
- Fax
- (352) 597-5020
- NPI assigned
- May 25, 2006
- 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
- Matthew E. Pederson
- Title
- Manager
- Phone
- (352) 597-5100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | SNF130470973 | FL | Primary |
Addresses
Primary practice location
12170 Cortez Blvd
Brooksville, FL 34613-5578
Mailing address
12170 Cortez Blvd
Brooksville, FL 34613-5578
Phone (352) 597-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 025249200 | Medicaid | FL |
Other names 1
- Spring Hill Health and Rehabilitation Center
National Provider Directory
National Provider DirectoryNPI 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": "1369526400000",
"number": "1114973740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12170 CORTEZ BLVD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346135578",
"telephone_number": "352-597-5100",
"fax_number": "352-597-5020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12170 CORTEZ BLVD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346135578",
"telephone_number": "352-597-5100",
"fax_number": "352-597-5020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPRING HILL HEALTH CARE ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-25",
"last_updated": "2013-05-26",
"status": "A",
"authorized_official_last_name": "PEDERSON",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "352-597-5100"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "FL",
"license": "SNF130470973",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "025249200",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Spring Hill Health and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brooksville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.