Organization Active NPI

Gainesville Health Ad Rehabilitation Center

  • Skilled Nursing Facility
  • Gainesville, FL
National Provider Identifier
1386835650
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF1170096 Issued in FL
Legal business name
GAINESVILLE HEALTH AD REHABILITATION CENTER
Practice address
4000 SW 20TH Avenue
Gainesville, FL 32607
Phone
(352) 377-1981
Fax
(352) 377-1981
NPI assigned
Aug 5, 2007
Organization subpart
Yes
Parent organization
LP O HOLDINGS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Mr. Aaron Lamar Dallas
Title
Ceo/Administrator
Phone
(352) 377-1981

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF1170096 FL Primary

Addresses

Primary practice location

4000 SW 20TH Avenue
Gainesville, FL 32607

Mailing address

4000 SW 20TH Avenue
Gainesville, FL 32607
Phone (352) 377-1981

Other names 1

  • Signature HealthCARE of Gainesville Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gainesville FL Opco LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1386835650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 SW 20TH AVENUE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32607",
            "telephone_number": "352-377-1981",
            "fax_number": "352-377-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 SW 20TH AVENUE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32607",
            "telephone_number": "352-377-1981",
            "fax_number": "352-377-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAINESVILLE HEALTH AD REHABILITATION CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LP O HOLDINGS LLC",
        "enumeration_date": "2007-08-05",
        "last_updated": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "DALLAS",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "LAMAR",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "352-377-1981",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1170096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature HealthCARE of Gainesville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.