Pensacola SNF LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1566096 Issued in FL

Legal business name

PENSACOLA SNF LLC

Practice address

600 W Gregory St
Pensacola, FL 32502-4744

Phone

(850) 437-3131

Fax

(850) 437-3733

NPI assigned

Sep 12, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Sam Kravetz, BILLING MANAGER

Title

A/R

Phone

(732) 942-1344

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Southern Oaks Rehab & Nursing Center Doing business as

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1669466173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W. GREGORY ST.",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32502",
            "telephone_number": "850-437-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W GREGORY ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325024744",
            "telephone_number": "850-437-3131",
            "fax_number": "850-437-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENSACOLA SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-12",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "KRAVETZ",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "A/R",
        "authorized_official_telephone_number": "732-942-1344",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BILLING MANAGER"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "1566096",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "14993",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026063100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Oaks Rehab & Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pensacola Pulmonary Associates P.a.
• Pensacola Radiation Medicine P.a.
• Pensacola Radiology Consultants PA
• Pensacola Rehab LLC
• Pensacola Smiles, PLLC
• Pensacola SNF LLC
• Pensacola Surgical Group PA
• Pensacola Therapy Services, LLC
• Pensacola Urology, PA
• Pensacola Vision Center Inc

• Skilled Nursing Facility in Pensacola, FL
• Providers in Pensacola, 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 25, 2009; 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.