Harbour Health Systems LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1504096 Issued in FL

Legal business name

HARBOUR HEALTH SYSTEMS LLC

Practice address

23013 Westchester Blvd
Port Charlotte, FL 33980-8448

Phone

(941) 625-1220

Fax

(941) 625-5649

NPI assigned

Nov 15, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Henry Bowen Gillespie, NHA

Title

Administrator

Phone

(941) 625-1220

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Harbour Health Center, Harbour Terrace, Harbour Home Care Doing business as

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229990400000",
    "number": "1689656845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23013 WESTCHESTER BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339808448",
            "telephone_number": "941-625-1220",
            "fax_number": "941-625-5649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23013 WESTCHESTER BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339808448",
            "telephone_number": "941-625-1220",
            "fax_number": "941-625-5649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOUR HEALTH SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-15",
        "last_updated": "2008-12-23",
        "status": "A",
        "authorized_official_last_name": "GILLESPIE",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "BOWEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "941-625-1220",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299991017",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL5075",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1504096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031933300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUE SHIELD",
            "identifier": "K3C",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbour Health Center, Harbour Terrace, Harbour Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Harigopal Inc
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• Skilled Nursing Facility in Port Charlotte, FL
• Providers in Port Charlotte, 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 Dec 23, 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.