Port Charlotte Hma LLC

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

Legal business name

PORT CHARLOTTE HMA LLC

Doing business as

Shorepoint Health Port Charlotte

Practice address

2500 Harbor Blvd
Port Charlotte, FL 33952-5000

Phone

(941) 966-4030

NPI assigned

Nov 6, 2024

Organization subpart

Yes

Parent organization

PORT CHARLOTTE HMA LLCAs reported in NPPES

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

Authorized official

Name

Paula Lalor

Title

Sr Director

Phone

(629) 215-3953

Specialties & licenses 1

Addresses

Other names 1

• Shorepoint Health Port Charlotte Doing business as

Tax ID family

Port Charlotte Hma Inc2 organizations share this tax ID, including this one

Part of

Port Charlotte Hma Inc

Other organizations with this tax ID 1

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

• Port Charlotte Hma Inc

  • Skilled Nursing Facility
  • Port Charlotte, FL
  • NPI 1841238938
  NPD tax ID

Locations

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1457174567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 HARBOR BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525000",
            "telephone_number": "941-966-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HARBOR BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525000",
            "telephone_number": "941-966-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT CHARLOTTE HMA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PORT CHARLOTTE HMA LLC",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "SR DIRECTOR",
        "authorized_official_telephone_number": "629-215-3953"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shorepoint Health Port Charlotte",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Port Charlotte Hma Inc
• Port Charlotte Hma LLC
• Port Charlotte Hma LLC
• Port Charlotte Hma Physician Management LLC
• Port Charlotte Hma Physician Management LLC
• Port Charlotte Hma Physician Management LLC
• Port Charlotte Hma Physician Management LLC

• Psychiatric Hospital Unit in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Psychiatric Hospital Unit in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.