Clewiston SNF Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CLEWISTON SNF OPERATIONS LLC

Practice address

301 S Gloria St
Clewiston, FL 33440-3520

Phone

(863) 983-5123

NPI assigned

Jun 3, 2022

Organization subpart

No

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

Authorized official

Name

Solomon Klein

Title

Member

Phone

(347) 909-1811

Specialties & licenses 1

Addresses

Other names 1

• CLEWISTON CENTER FOR REHABILITATION AND HEALING Doing business as

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1457090730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S GLORIA ST",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "334403520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S GLORIA ST",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "334403520",
            "telephone_number": "863-983-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEWISTON SNF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "SOLOMON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "347-909-1811"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLEWISTON CENTER FOR REHABILITATION AND HEALING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thania Chavez Olvera
• Ximena Checa, DMD
• Clewiston Dialysis Center LLC
• Clewiston Nursing & Rehabilitation, LLC
• Clewiston Nursing and Rehab Opco LLC
• Lisandra Concepcion Aponte
• Susan Conley, FNP
• Cook Chiropractic Clinic
• Tamika Alishia Cooke, AGPCNP-C
• Angel Crespo, APRN

• Skilled Nursing Facility in Clewiston, FL
• Providers in Clewiston, 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 Jun 3, 2022; 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.