Sebring Senior Care, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF14250962 Issued in FL

Legal business name

SEBRING SENIOR CARE, LLC

Doing business as

Palms of Sebring

Practice address

725 S Pine St
Sebring, FL 33870-3654

Phone

(863) 385-0161

Fax

(863) 385-2385

NPI assigned

Jun 14, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Steven B Austin, LNHA

Title

Executive Director

Phone

(863) 402-4703

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Palms of Sebring Doing business as

Locations

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341187200000",
    "number": "1760487029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 S PINE ST",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338703654",
            "telephone_number": "863-385-0161",
            "fax_number": "863-385-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 S PINE ST",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338703654",
            "telephone_number": "863-385-0161",
            "fax_number": "863-385-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEBRING SENIOR CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2012-07-02",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "863-402-4703",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL4693",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF14250962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER",
            "identifier": "684654800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025267100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palms of Sebring",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Sebring, FL
• Providers in Sebring, 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 Jul 2, 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.