Active NPI
Siesta Spring Healthcare, Inc.
- Skilled Nursing Facility
- Davenport, FL
National Provider Identifier
1790611523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- SIESTA SPRING HEALTHCARE, INC.
- Practice address
- 206 W Orange St
Davenport, FL 33837-3118 - Phone
- (863) 422-4961
- Fax
- (949) 540-3007
- NPI assigned
- Jun 19, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Soon Burnam
- Title
- Secretary
- Phone
- (949) 540-1249
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
206 W Orange St
Davenport, FL 33837-3118
Mailing address
206 W Orange St
Davenport, FL 33837-3118
Phone (863) 422-4961
Other names 1
- Davenport Post-Acute and Rehabilitation
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787097600000",
"number": "1790611523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 W ORANGE ST",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338373118",
"telephone_number": "863-422-4961",
"fax_number": "949-540-3007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 W ORANGE ST",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338373118",
"telephone_number": "863-422-4961",
"fax_number": "949-540-3007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIESTA SPRING HEALTHCARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-19",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A",
"authorized_official_last_name": "BURNAM",
"authorized_official_first_name": "SOON",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "949-540-1249"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Davenport Post-Acute and Rehabilitation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Davenport, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.