Sa-PG-Vero Beach LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1415096 Issued in FL

Legal business name

SA-PG-VERO BEACH LLC

Doing business as

Palm Garden of Vero Beach

Practice address

1755 37TH St
Vero Beach, FL 32960-4812

Phone

(772) 567-2443

Fax

(772) 778-9979

NPI assigned

Jun 22, 2005

Last updated

Jul 22, 2008By 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

Mr. Alex Paley

Title

Coo

Phone

(914) 390-4363

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Palm Garden of Vero Beach Doing business as

Tax ID family

Palm Garden of Vero Beach2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Palm Garden of Vero Beach LLC

  dba Palm Garden of Vero Beach

  • Skilled Nursing Facility
  • Vero Beach, FL
  • NPI 1265867212
  NPD tax ID

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1316943558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 37TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604812",
            "telephone_number": "772-567-2443",
            "fax_number": "772-778-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 37TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604812",
            "telephone_number": "772-567-2443",
            "fax_number": "772-778-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SA-PG-VERO BEACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "PALEY",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "914-390-4363",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1415096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025731100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Garden of Vero Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyson Ryall, PA-C
• Gloria Mary Ryan, M.D.
• Patricia Ryding, PAY.D
• Elizabeth Rye
• S-H Thirty-Five Opco - Vero Beach, LLC (Brookdale Vero Beach)
• Gabriela Sabanilla Trejo, MS, RDN, LDN
• Jeffrey Benjamin Sacks, M.D.
• Sage Dental of Vero Beach PLLC
• Saint Teresa of Avila Healthcare PA (Saint Teresa of Avila Healthcare)
• Saphir Saint-Louis, RBT

• Skilled Nursing Facility in Vero Beach, FL
• Providers in Vero Beach, 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 Jul 22, 2008; 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.