Paradise Pines Health Care Associates LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF15640961 Issued in FL

Legal business name

PARADISE PINES HEALTH CARE ASSOCIATES LLC

Doing business as

Harts Harbor Health Care Center

Practice address

11565 Harts Rd
Jacksonville, FL 32218-3777

Phone

(904) 751-1834

Fax

(904) 751-0272

NPI assigned

May 25, 2006

Last updated

Nov 21, 2012By 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

Neil Ramski

Title

Manager

Phone

(904) 751-1834

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Harts Harbor Health Care Center Doing business as

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353456000000",
    "number": "1467408054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11565 HARTS RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322183777",
            "telephone_number": "904-751-1834",
            "fax_number": "904-751-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11565 HARTS RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322183777",
            "telephone_number": "904-751-1834",
            "fax_number": "904-751-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE PINES HEALTH CARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2012-11-21",
        "status": "A",
        "authorized_official_last_name": "RAMSKI",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-751-1834"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF15640961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025241700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harts Harbor Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Nov 21, 2012; 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.