Organization Active NPI

Palm Harbor FL Opco LLC

  • Skilled Nursing Facility
  • Palm Harbor, FL
National Provider Identifier
1164057659
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PALM HARBOR FL OPCO LLC
Practice address
2600 Highlands Blvd N
Palm Harbor, FL 34684-2114
Phone
(727) 785-5671
NPI assigned
Mar 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Authorized official

Name
Batya Gorelick
Title
VP of Administrative Services
Phone
(727) 785-5671

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary
Respite Care 385H00000X

Addresses

Primary practice location

2600 Highlands Blvd N
Palm Harbor, FL 34684-2114

Mailing address

440 Sylvan Ave Ste 240
Englewood Cliffs, NJ 07632-2700

Other names 2

  • Orchid Cove at Palm Harbor Doing business as
  • Palm Harbor Health and Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1164057659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 SYLVAN AVE STE 240",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 HIGHLANDS BLVD N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346842114",
            "telephone_number": "727-785-5671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM HARBOR FL OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-05",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "GORELICK",
        "authorized_official_first_name": "BATYA",
        "authorized_official_title_or_position": "VP OF ADMINISTRATIVE SERVICES",
        "authorized_official_telephone_number": "727-785-5671"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orchid Cove at Palm Harbor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Orchid Cove at Palm Harbor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palm Harbor Health and Rehabilitation Center",
            "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 Nov 23, 2022; 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.