Monticello HLTH MGMT LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MONTICELLO HLTH MGMT LLC

Doing business as

cross landings health and rehabilitation center

Practice address

1780 N Jefferson Hwy
Monticello, FL 32344-5536

Phone

(850) 997-2313

Fax

(850) 997-0218

NPI assigned

Apr 21, 2011

Organization subpart

No

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

Authorized official

Name

Margaret Hudson Fernandez

Title

Cfo

Phone

(954) 367-4563

Specialties & licenses 1

Addresses

Other names 1

• cross landings health and rehabilitation center Doing business as

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1407147614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 N OCEAN BLVD",
            "address_2": "SUITE 1104",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333082929",
            "telephone_number": "404-456-9926",
            "fax_number": "954-367-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 N JEFFERSON HWY",
            "city": "MONTICELLO",
            "state": "FL",
            "postal_code": "323445536",
            "telephone_number": "850-997-2313",
            "fax_number": "850-997-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTICELLO HLTH MGMT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-21",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "HUDSON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "954-367-4563"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "cross landings health and rehabilitation center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Whitney Ann McKnight, OTR/L
• Krista L McMullen, LPN
• Rhaquese Ashanti Miller, RN
• Monticello Dentistry PLLC
• Monticello Gardens LLC
• Monticello Opco LLC
• Monticello Partnership LTD (Jefferson Nursing Center)
• Monticello Physical Therapy & Wellness
• Crystal Elizabeth Moody
• Adin Matthew Mora Velazquez Jr.

• Skilled Nursing Facility in Monticello, FL
• Providers in Monticello, 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 Apr 22, 2013; 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.