NF Suwannee LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

NF SUWANNEE LLC

Doing business as

Suwannee Health and Rehabilitation Center

Practice address

1620 Helvenston St SE
Live Oak, FL 32064-3474

Phone

(386) 362-7860

NPI assigned

Jun 9, 2008

Organization subpart

Yes

Parent organization

GULF COAST FACILITIES LLCAs reported in NPPES

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

Authorized official

Name

James Richardson

Title

Presient

Phone

(850) 430-0000

Specialties & licenses 1

Addresses

Other names 1

• Suwannee Health and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1376703819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SOUTH PALAFOX PLACE",
            "address_2": "SUITE 400",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 HELVENSTON ST SE",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320643474",
            "telephone_number": "386-362-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NF SUWANNEE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GULF COAST FACILITIES LLC",
        "enumeration_date": "2008-06-09",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIENT",
        "authorized_official_telephone_number": "850-430-0000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suwannee Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gabriel Bezel Mufuka, M.D
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• Amy Newson, SA
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• Skilled Nursing Facility in Live Oak, FL
• Providers in Live Oak, 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 Oct 5, 2015; 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.