Archer Health Ventures, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1568096 Issued in FL

Legal business name

ARCHER HEALTH VENTURES, LLC

Doing business as

Plaza Health and Rehab

Practice address

4842 SW Archer Rd
Gainesville, FL 32608-3813

Phone

(352) 376-8821

Fax

(352) 377-7606

NPI assigned

May 21, 2018

Last updated

May 21, 2018By 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

Mrs. Annesley Brightwell

Title

Regional Business Office Managers

Phone

(904) 753-1870

Specialties & licenses 1

Addresses

Other names 1

• Plaza Health and Rehab Doing business as

Locations

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526860800000",
    "number": "1407347982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 SADLER RD",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320340415",
            "telephone_number": "904-321-1909",
            "fax_number": "904-321-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4842 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326083813",
            "telephone_number": "352-376-8821",
            "fax_number": "352-377-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHER HEALTH VENTURES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A",
        "authorized_official_last_name": "BRIGHTWELL",
        "authorized_official_first_name": "ANNESLEY",
        "authorized_official_title_or_position": "REGIONAL BUSINESS OFFICE MANAGERS",
        "authorized_official_telephone_number": "904-753-1870",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "1568096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plaza Health and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicholas Arcadipane, DPT
• Troy Arcand
• Carolina Arce
• Sylvia Arce, MD
• Archangel Michael Health PA
• Archer Rehabilitation LLC
• Ayana Matokah Archer
• Jeremy Michael Archer, M.D.
• Lennox Archibald, MD
• Arcticax US LTD

• Skilled Nursing Facility in Gainesville, FL
• Providers in Gainesville, 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 May 21, 2018; 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.