Hamilton Health Enterprises, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1546096 Issued in FL

Legal business name

HAMILTON HEALTH ENTERPRISES, INC.

Practice address

427 NW 15TH Ave
Jasper, FL 32052-5874

Phone

(386) 792-1868

Fax

(386) 792-6839

NPI assigned

Jul 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth M Daniels, TREASURER

Title

Treasurer

Phone

(386) 792-1868

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Suwannee Valley Nursing Center Doing business as

Locations

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1720002819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 NW 15TH AVE",
            "city": "JASPER",
            "state": "FL",
            "postal_code": "320525874",
            "telephone_number": "386-792-1868",
            "fax_number": "386-792-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 NW 15TH AVE",
            "city": "JASPER",
            "state": "FL",
            "postal_code": "320525874",
            "telephone_number": "386-792-1868",
            "fax_number": "386-792-6839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMILTON HEALTH ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "386-792-1868",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "TREASURER"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1546096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020630000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suwannee Valley Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hamilton County School Board
• Hamilton County School Board
• Hamilton County School Board
• Hamilton County School Board
• Hamilton County School Board
• Andrew M Harrell Sr.
• Hawks Transportation
• HC Healthcare Inc
• Heart 2 Heart Healthcare Services
• Anthony James Holden, CDL

• All providers in Jasper, FL
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.