Leesburg Health & Rehab LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF12910961 Issued in FL

Legal business name

LEESBURG HEALTH & REHAB LLC

Practice address

715 E Dixie Ave
Leesburg, FL 34748-5926

Phone

(352) 728-3020

NPI assigned

Mar 20, 2007

Last updated

Jan 16, 2008By 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

Mr. Philip James Castleberg

Title

Owner

Phone

(352) 728-3020

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1659496511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 E DIXIE AVE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485926",
            "telephone_number": "352-728-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 E DIXIE AVE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485926",
            "telephone_number": "352-728-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEESBURG HEALTH & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "CASTLEBERG",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-728-3020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF12910961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Leesburg, FL
• Providers in Leesburg, 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 Jan 16, 2008; 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.