Palm Harbor Post Acute LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PALM HARBOR POST ACUTE LLC

Practice address

2600 Highlands Blvd N
Palm Harbor, FL 34684-2114

Phone

(727) 785-5671

NPI assigned

Aug 7, 2023

Organization subpart

No

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

Authorized official

Name

Kenneth Funk

Title

Member of LLC

Phone

(478) 200-0300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1376225532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 HIGHLANDS BLVD N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346842114",
            "telephone_number": "727-785-5671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 HIGHLANDS BLVD N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346842114",
            "telephone_number": "727-785-5671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM HARBOR POST ACUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "FUNK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "MEMBER OF LLC",
        "authorized_official_telephone_number": "478-200-0300"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Palm Harbor Premier Dental, Inc.
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• Skilled Nursing Facility in Palm Harbor, FL
• Providers in Palm 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 Aug 22, 2023; 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.