Palm Court NH, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

SNF14050963 Issued in FL

Legal business name

PALM COURT NH, LLC

Practice address

2675 N Andrews Ave
Wilton Manors, FL 33311-2509

Phone

(954) 563-5711

Fax

(954) 563-5729

NPI assigned

May 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. William P Mando

Title

Cfo

Phone

(813) 635-9500

Specialties & licenses 1

Addresses

Other names 1

• WILTON MANORS HEALTH & REHABILITATION CENTER Doing business as

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386691749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 N ANDREWS AVE",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333112509",
            "telephone_number": "954-563-5711",
            "fax_number": "954-563-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 N ANDREWS AVE",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333112509",
            "telephone_number": "954-563-5711",
            "fax_number": "954-563-5729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM COURT NH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANDO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "813-635-9500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "SNF14050963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WILTON MANORS HEALTH & REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Wilton Manors, FL
• Providers in Wilton Manors, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.