Merritt Island RHF Housing, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF11070961 Issued in FL

Legal business name

MERRITT ISLAND RHF HOUSING, INC

Doing business as

Courtenay Springs Village

Practice address

1100 S Courtenay Pkwy
Merritt Island, FL 32952-3804

Phone

(321) 452-1233

Fax

(321) 452-7068

NPI assigned

Jul 5, 2005

Organization subpart

No

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

Authorized official

Name

Stuart Hartman

Title

VP of Operations

Phone

(562) 257-5100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• COURTENAY SPRINGS VILLAGE Doing business as

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1245237270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S COURTENAY PKWY",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523804",
            "telephone_number": "321-452-1233",
            "fax_number": "321-452-7068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S COURTENAY PKWY",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523804",
            "telephone_number": "321-452-1233",
            "fax_number": "321-452-7068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRITT ISLAND RHF HOUSING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "562-257-5100"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF11070961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020932500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COURTENAY SPRINGS VILLAGE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Merritt Island Health Care Associates LLC (Island Health and Rehabilitation Center)
• Merritt Island Outpatient Surgery Center, LLC
• Merritt Island Pharmacy
• Merritt Island Pharmacy (Merritt Island Discount Pharmacy)
• Merritt Island Rehab LLC (The Health Center of Merritt Island)
• Merritt Island Walk in Clinic LLC (Merritt Island Walk In Clinic Family Medicine)
• Merritt Island Walk-in Clinic LLC
• Donald Peter Messersmith, MD
• Mi SNF Opco LLC (The Terrace at Courtenay Springs)
• Michael James Mijon, M.A.

• Skilled Nursing Facility in Merritt Island, FL
• Providers in Merritt Island, 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 Jan 21, 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.