SS Polk IV Community HC LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SS POLK IV COMMUNITY HC LLC

Practice address

202 Avenue O NE
Winter Haven, FL 33881-2409

Phone

(863) 293-3103

NPI assigned

Sep 3, 2026

Organization subpart

No

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

Authorized official

Name

Alicia Cepeda

Title

Senior Legal/Risk Manager

Phone

(385) 342-5175

Specialties & licenses 1

Addresses

Other names 1

• Winter Haven Health and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1346159696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 AVENUE O NE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338812409",
            "telephone_number": "863-293-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 AVENUE O NE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338812409",
            "telephone_number": "863-293-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SS POLK IV COMMUNITY HC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "CEPEDA",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "SENIOR LEGAL/RISK MANAGER",
        "authorized_official_telephone_number": "385-342-5175"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winter Haven Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.