Peace River Hma Nursing Center Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PEACE RIVER HMA NURSING CENTER INC

Doing business as

Peace River Nursing and Rehabilitation

Practice address

2370 Harbor Blvd
Port Charlotte, FL 33952

Phone

(941) 624-5966

Fax

(941) 766-5351

NPI assigned

Nov 30, 2005

Organization subpart

No

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

Authorized official

Name

Timothy Parry, ESQ

Title

Sr VP and General Counsel

Phone

(239) 598-3176

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Peace River Nursing and Rehabilitation Doing business as

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1124002647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 HARBOR BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "33952",
            "telephone_number": "941-624-5966",
            "fax_number": "941-766-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 HARBOR BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "33952",
            "telephone_number": "941-624-5966",
            "fax_number": "941-766-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE RIVER HMA NURSING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "PARRY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "SR VP AND GENERAL COUNSEL",
        "authorized_official_telephone_number": "239-598-3176",
        "authorized_official_credential": "ESQ"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030902800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peace River Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hannah Elizabeth Payne, LMHC, NCC
• PCP - Health PLLC
• Peace of Mind Internal Medicine PLLC Jennifer a Cooke Sole MBR
• Peace River Ankle & Foot, PL
• Peace River Cardiovascular Center
• Peace River Physical Therapy & Rehabilitation, LLC
• Peace River Surgery Center
• Peachland Chiropractic Health LLC
• Olena Pease, CRNA
• Eric Pecoraro

• Skilled Nursing Facility in Port Charlotte, FL
• Providers in Port Charlotte, 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 Feb 18, 2009; 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.