Safety Harbor Facility Operations, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1018096 Issued in FL

Legal business name

SAFETY HARBOR FACILITY OPERATIONS, LLC

Doing business as

Living Center of Safety Harbor

Practice address

1410 M L King St N
Safety Harbor, FL 34695-3303

Phone

(727) 726-1181

Fax

(727) 799-2832

NPI assigned

Jul 25, 2006

Organization subpart

No

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

Authorized official

Name

Kenneth Ussery

Title

VP

Phone

(407) 571-1550

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Living Center of Safety Harbor Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640131200000",
    "number": "1275556128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 DR ML KING JR ST N",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346953303",
            "telephone_number": "727-726-1181",
            "fax_number": "727-799-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 M L KING ST N",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346953303",
            "telephone_number": "727-726-1181",
            "fax_number": "727-799-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFETY HARBOR FACILITY OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A",
        "authorized_official_last_name": "USSERY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "407-571-1550"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1018096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008040600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://65.196.137.118:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "urn:oid:2.16.840.1.113883.3.5042",
            "affiliationName": "Consulate Healthcare",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "800 Concourse Pkwy S Ste 200",
            "city": "Maitland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327516148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Living Center of Safety Harbor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Renee Kathleen Rudnick, CRNA
• Alexis Jeannette Ruiz, APRN
• Gabriella Ruskin, MSN, APRN, FNP-BC
• Kenneth Christopher Sabatino, MD
• Safety Harbor Dentistry
• Safety Harbor Family Dentistry PA
• Safety Harbor Senior Living
• Pavlo Sakhatskyy, M.D.
• Wendy Lynn Saldivar, OTR/L
• Flor Maria Sanchez, M.D.

• Skilled Nursing Facility in Safety Harbor, FL
• Providers in Safety Harbor, 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 Dec 22, 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.