Chatsworth at Wellington Green LLC
Organization Active NPI Skilled Nursing Facility · Wellington, FL
NPI 1487955654 · NPPES record last updated Dec 8, 2011
Key facts
- NPI
- 1487955654
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- CHATSWORTH AT WELLINGTON GREEN LLC
- Practice address
- 10330 Devonshire Blvd
Wellington, FL 33414-9302 - Phone
- (561) 795-3360
- NPI assigned
- Nov 4, 2010
- Organization subpart
- No
Authorized official
- Name
- Mr. Paul M Walczak II
- Title
- Manager
- Phone
- (561) 366-6600
Other NPIs on the same Medicare enrollment 1
Practitioners 21
-
Colleen Gail Benson, APN, C.
-
Tamara Coleburn, APRN
-
Nathalie Dominguez, ARNP
-
Jocelyn Doughty, ARNP
-
Stephanie Joseph Duliepre, NURSE PRACTITIONER
-
Ebrahim Hoosien, MD
-
Jhoni Johnson, ARNP
-
Shahbano Jamali Khan, M.D.
-
Melissa McNutt Lawler, ARNP
-
Luis E Otero, M.D.
-
John P Peters, MD
-
Rose Fernande Toussaint, ARNP
-
Sepalika Wasanthalal, M.D.
-
Renee Theresa Lancaster-Cope, ARNP-C
-
Javed Firoz Patka, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120404000760 | FL | Part B Supplier - Clinic/Group Practice | 3678733342 |
Receives reassigned benefits from 254 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: West Palm Beach, FL; Wellington, FL; Riviera Beach, FL; Palm Beach Gardens, FL; Lake Worth, FL; Jupiter, FL; Delray Beach, FL; Atlantis, FL… |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | FL | Yes |
Addresses
Primary practice location
10330 Devonshire Blvd
Wellington, FL 33414-9302
Mailing address
PO Box 31809
Palm Beach Gardens, FL 33420-1809
Phone (561) 366-6600
Other names
- NuVista Living at Wellington Green
Other providers in Wellington, FL
- Marie A. Chang
- Denneille Kayla Chantiloupe
- Dalia Guergues Naguib Charkawi
- Zakiya Charlassier
- Jerry Charles
- Marci D Chaves
- Heather Chavez
- Troy A Cheatham
- Alexander Chernobelsky
- Chesed Counseling
All providers in Wellington, FL · Skilled Nursing Facility in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.