Organization Active NPI

Leesburg Health and Rehab

  • Skilled Nursing Facility
  • Leesburg, FL
National Provider Identifier
1750370656
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
7250000105 Issued in FL
Legal business name
LEESBURG HEALTH AND REHAB
Practice address
715 E Dixie Ave
Leesburg, FL 34748-5926
Phone
(352) 728-3020
Fax
(352) 787-6591
NPI assigned
Oct 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Ms. Deborah Simpson, RN/DM/CRAC/LNC
Title
D.O.N
Phone
(352) 728-3020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 7250000105 FL Primary

Addresses

Primary practice location

715 E Dixie Ave
Leesburg, FL 34748-5926

Mailing address

715 E Dixie Ave
Leesburg, FL 34748-5926
Phone (352) 728-3020

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1750370656",
    "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",
            "fax_number": "352-787-6591"
        },
        {
            "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",
            "fax_number": "352-787-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEESBURG HEALTH AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-14",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "D.O.N",
        "authorized_official_telephone_number": "352-728-3020",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN/DM/CRAC/LNC"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "7250000105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.