Polk County, a Political Subdivision of the State of Florida

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF14790951 Issued in FL

Legal business name

POLK COUNTY, A POLITICAL SUBDIVISION OF THE STATE OF FLORIDA

Practice address

2120 Marshall Edwards Dr
Bartow, FL 33830-6731

Phone

(863) 519-7579

Fax

(863) 519-4783

NPI assigned

Feb 8, 2007

Last updated

Jun 24, 2019By 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

Renee B Smith

Title

Office Manager III

Phone

(863) 519-7579

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 3

• Polk County Board of County Commissioners Former legal business name
• Rohr Home (entity) Other name
• The Rohr Home (entity) Other name

Locations

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561334400000",
    "number": "1376684951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 MARSHALL EDWARDS DR",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338306731",
            "telephone_number": "863-519-7579",
            "fax_number": "863-519-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 MARSHALL EDWARDS DR",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338306731",
            "telephone_number": "863-519-7579",
            "fax_number": "863-519-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLK COUNTY, A POLITICAL SUBDIVISION OF THE STATE OF FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2019-06-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER III",
        "authorized_official_telephone_number": "863-519-7579"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF14790951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020253300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Polk County Board of County Commissioners",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Rohr Home (entity)",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "The Rohr Home (entity)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Polk County Board of County Commissioners
• Polk County Board of County Commissioners (Polk County Bocc) (The Rohr Home Physicians)
• Polk County Bocc Elderly Services Division
• Polk County Drug Court
• Polk County Elderly Services
• Polk Emergency Group LLC
• Polk Pediatrics
• Kion Pope
• Alice Porterfield, LMHC
• Jean Powell, ARNP

• Skilled Nursing Facility in Bartow, FL
• Providers in Bartow, 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 Jun 24, 2019; 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.