Organization Active NPI

Palm Beach NH LLC

Doing business as Palm Beach Shores Health and Rehabilitation Center

  • Skilled Nursing Facility
  • West Palm Beach, FL
National Provider Identifier
1780870154
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PALM BEACH NH LLC
Doing business as
Palm Beach Shores Health and Rehabilitation Center
Practice address
1101 54TH St
West Palm Beach, FL 33407-2419
Phone
(561) 844-8401
NPI assigned
Sep 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
Mr. William P Mando
Title
Cfo
Phone
(813) 635-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1101 54TH St
West Palm Beach, FL 33407-2419

Mailing address

1101 54TH St
West Palm Beach, FL 33407-2419

Other names 1

  • PALM BEACH SHORES HEALTH AND REHABILITATION CENTER Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1780870154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 54TH ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 54TH ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072419",
            "telephone_number": "561-844-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH NH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "MANDO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "813-635-9500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PALM BEACH SHORES HEALTH AND REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.