Organization Active NPI

Integrated Health Services at Central Florida Inc

  • Skilled Nursing Facility
  • Fort Pierce, FL
National Provider Identifier
1245217926
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF11600961 Issued in FL
Legal business name
INTEGRATED HEALTH SERVICES AT CENTRAL FLORIDA INC
Practice address
703 S 29TH St
Fort Pierce, FL 34947-3625
Phone
(772) 466-3322
Fax
(772) 466-8057
NPI assigned
Dec 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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

Authorized official

Name
Mr. Brian Reynolds
Title
Ceo
Phone
(410) 513-8738

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF11600961 FL Primary

Addresses

Primary practice location

703 S 29TH St
Fort Pierce, FL 34947-3625

Mailing address

703 S 29TH St
Fort Pierce, FL 34947-3625
Phone (772) 466-3322

Other identifiers 1

IdentifierTypeStateIssuer
211516MedicaidFL

Other names 1

  • Laurel Pointe Health and Rehabilitation Other name

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1245217926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 S 29TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349473625",
            "telephone_number": "772-466-3322",
            "fax_number": "772-466-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 S 29TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349473625",
            "telephone_number": "772-466-3322",
            "fax_number": "772-466-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HEALTH SERVICES AT CENTRAL FLORIDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-23",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-513-8738",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF11600961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211516",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurel Pointe Health and Rehabilitation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.