Palm Court NH, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF14050963 Issued in FL

Legal business name

PALM COURT NH, LLC

Practice address

2675 N Andrews Ave
Wilton Manors, FL 33311-2509

Phone

(954) 563-5711

Fax

(954) 563-5729

NPI assigned

Jun 20, 2005

Organization subpart

No

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

Authorized official

Name

Moshe Scheiner

Title

Cfo

Phone

(813) 557-6200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wilton Manors Health & Rehabilitation Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer R Wagner, PA-C

  • Physician Assistant
  • Miami, FL
  • NPI 1609980093
  NPD (past)

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624752000000",
    "number": "1124023783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 N ANDREWS AVE",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333112509",
            "telephone_number": "954-563-5711",
            "fax_number": "954-563-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 N ANDREWS AVE",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333112509",
            "telephone_number": "954-563-5711",
            "fax_number": "954-563-5729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM COURT NH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2021-06-27",
        "certification_date": "2021-06-27",
        "status": "A",
        "authorized_official_last_name": "SCHEINER",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "813-557-6200"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF14050963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0227579-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilton Manors Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wilton Manors Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nova Southeastern University
• Nova Southeastern University, Inc.
• Ellyn Okrent, LCSW
• Kyle James Oleary, ARNP
• Onsite Optometry LLC
• Palm Court NH, LLC
• Jennifer Marie Palmer
• Karina Palta
• Ryan Papciak
• Kunj Dineshkumar Patel

• Skilled Nursing Facility in Wilton Manors, FL
• Providers in Wilton Manors, 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 Jun 27, 2021; 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.