Organization Active NPI

Witcorf, Inc.

  • Rehabilitation Hospital Unit
  • Bay Harbor Islands, FL
National Provider Identifier
1790706984
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
104876 Issued in FL
Legal business name
WITCORF, INC.
Practice address
1085 Kane Concourse
Bay Harbor Islands, FL 33154-2105
Phone
(305) 962-7155
Fax
(305) 861-5558
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Lishka C. Wittels
Title
Assistant Administrator
Phone
(305) 368-1755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 104876 FL Primary

Addresses

Primary practice location

1085 Kane Concourse
Bay Harbor Islands, FL 33154-2105

Mailing address

1085 Kane Concourse
Bay Harbor Islands, FL 33154-2105
Phone (305) 962-7155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120717000087 FL Part A Provider - Comprehensive Outpatient Rehabilitation Facility 3274799424 Practice locations: Bay Harbor Island, FL

Comprehensive outpatient rehabilitation facility certification: CCN 104876

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
WITCORF INC
Certification status
Active
Provider type (POS)
Comprehensive outpatient rehabilitation facility
Participating since
Nov 22, 1996
Last certification
Dec 2, 2021
Ownership / control type
Proprietary
Facility address
1085 Kane Concourse
Bay Harbor Islands, FL 33154

National Provider Directory

National Provider Directory

Locations

1085 Kane Concourse
Bay Harbor Islands, FL 33154
Phone (305) 674-2090

1085 Kane Concourse
Ste B
Bay Harbor Islands, FL 33154

1081 Kane Concourse
Bay Harbor Islands, FL 33154
Phone (305) 866-4664

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790706984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 KANE CONCOURSE",
            "city": "BAY HARBOR ISLANDS",
            "state": "FL",
            "postal_code": "331542105",
            "telephone_number": "305-962-7155",
            "fax_number": "305-861-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 KANE CONCOURSE",
            "city": "BAY HARBOR ISLANDS",
            "state": "FL",
            "postal_code": "331542105",
            "telephone_number": "305-962-7155",
            "fax_number": "305-861-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WITCORF, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WITTELS",
        "authorized_official_first_name": "LISHKA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "305-368-1755",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "FL",
            "license": "104876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Harbor Islands, FL

Sources for this page

Verify at the official NPI Registry.