Organization Active NPI

Charlotte Harbor Rehab LLC

  • Skilled Nursing Facility
  • Port Charlotte, FL
National Provider Identifier
1467761783
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CHARLOTTE HARBOR REHAB LLC
Practice address
4000 Kings Hwy
Port Charlotte, FL 33980-8718
Phone
(941) 255-5855
Fax
(941) 255-9006
NPI assigned
Oct 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Authorized official

Name
John E Warren
Title
MGR
Phone
(941) 255-5855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X FL Primary

Addresses

Primary practice location

4000 Kings Hwy
Port Charlotte, FL 33980-8718

Mailing address

4000 Kings Hwy
Port Charlotte, FL 33980-8718
Phone (941) 255-5855

Other names 1

  • Charlotte Harbor Healthcare Doing business as

National Provider Directory

National Provider Directory

Locations

4000 Kings Hwy
Punta Gorda, FL 33980
Phone (941) 255-5855

NPI Registry JSON

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315785600000",
    "number": "1467761783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 KINGS HWY",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339808718",
            "telephone_number": "941-255-5855",
            "fax_number": "941-255-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 KINGS HWY",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339808718",
            "telephone_number": "941-255-5855",
            "fax_number": "941-255-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE HARBOR REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2011-09-12",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "941-255-5855"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charlotte Harbor Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.