Arbor Facility Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1588096 Issued in FL

Legal business name

ARBOR FACILITY INC

Practice address

490 S Old Wire Rd
Wildwood, FL 34785-5001

Phone

(352) 748-3322

NPI assigned

Apr 22, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Michael Bleich

Title

Authorized Representative

Phone

(845) 641-8314

Specialties & licenses 1

Addresses

Other names 1

• Cypress Care Center Doing business as

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540252800000",
    "number": "1164819652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 HOLLYWOOD BLVD",
            "address_2": "#369",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 S OLD WIRE RD",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "347855001",
            "telephone_number": "352-748-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR FACILITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2018-10-23",
        "status": "A",
        "authorized_official_last_name": "BLEICH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "845-641-8314",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1588096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cypress Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cypress Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lina Alokka
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• Ammar Mousa DDS LLC
• Ammar Mousa DDS LLC
• Arbor Nursing and Rehab LLC
• Artemis Medical, LLC
• Jason David Azar, APRN, FNP-BC
• Frances Suzann Baker
• Matthew Beck

• All providers in Wildwood, FL
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.