Life Care Centers of America, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF15430961 Issued in FL

Legal business name

LIFE CARE CENTERS OF AMERICA, INC.

Doing business as

Life Care Center of Hillard

Practice address

3756 W 3Rd St
Hilliard, FL 32046-6846

Phone

(904) 845-3988

Fax

(904) 845-7414

NPI assigned

Jul 10, 2006

Last updated

Sep 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cindy S. Cross

Title

Assist Secretary

Phone

(423) 473-5867

Specialties & licenses 1

Addresses

Other names 1

• Life Care Center of Hillard Doing business as

Member of 1

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

• Life Care Centers of America, Inc.

  dba Briarwood Health Care Center

  • Skilled Nursing Facility
  • Denver, CO
  • NPI 1437167152

  Member Of

  NPD member

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1295769503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123713",
            "telephone_number": "423-473-5751",
            "fax_number": "423-339-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3756 W 3RD ST",
            "city": "HILLIARD",
            "state": "FL",
            "postal_code": "320466846",
            "telephone_number": "904-845-3988",
            "fax_number": "904-845-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE CENTERS OF AMERICA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "ASSIST SECRETARY",
        "authorized_official_telephone_number": "423-473-5867"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF15430961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Care Center of Hillard",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Life Care Center of Hillard",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marella Buchanan Hunter, BCBA
• Susan Urell Irvin, A.R.N.P.
• Kayla Jones
• Alyssa Labiak, BA
• George Weldon Lewis, V.M.D.
• Kimberly Lippmann, MS
• Jack William Mounce
• Jessica Myers, MS, LAT, ATC
• Nassau County Mental Health Alcohol & Drug Abuse Council Inc (Starting Point Behavioral Healthcare)
• Shanmukhi Reddy Ragi

• Skilled Nursing Facility in Hilliard, FL
• Providers in Hilliard, 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 Sep 15, 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.