Saints 120 LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1007096 Issued in FL

Legal business name

SAINTS 120 LLC

Doing business as

Cross Care Center

Practice address

5888 Blanding Blvd
Jacksonville, FL 32244-1927

Phone

(904) 772-1220

Fax

(904) 772-6334

NPI assigned

Oct 15, 2014

Last updated

Oct 15, 2014By 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

Margaret H Fernandez

Title

Cfo

Phone

(954) 367-4563

Specialties & licenses 1

Addresses

Other names 1

• CROSS CARE CENTER Doing business as

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1417351768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 SHERIDAN ST",
            "address_2": "STE B",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213420",
            "telephone_number": "954-367-4563",
            "fax_number": "954-367-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5888 BLANDING BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322441927",
            "telephone_number": "904-772-1220",
            "fax_number": "904-772-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINTS 120 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "H",
        "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": "1007096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CROSS CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jean Brunel Saint Louis
• Tanisha Michaelle Saint-Fleur
• Tryphene Saint-Phard, MD
• Maria Saint-Pre, MD
• Meline Saintons
• Alfredo Sainz
• Elizabeth Leah Gerber Saionz, MD, PHD
• Nikil Krishnan Sairam
• Ryuta Sakai, ATC
• Haritha Sakhamuri, M.D.

• Skilled Nursing Facility in Jacksonville, FL
• Providers in Jacksonville, 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 15, 2014; 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.