Williston Health Care Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1381096 Issued in FL

Legal business name

WILLISTON HEALTH CARE CENTER, LLC

Practice address

300 NW 1St Ave
Williston, FL 32696-2006

Phone

(352) 528-3561

NPI assigned

Jun 19, 2006

Organization subpart

No

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

Authorized official

Name

Steve Strawn

Title

Director

Phone

(615) 217-2324

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811932015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 NW 1ST AVE",
            "city": "WILLISTON",
            "state": "FL",
            "postal_code": "326962006",
            "telephone_number": "352-528-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NW 1ST AVE",
            "city": "WILLISTON",
            "state": "FL",
            "postal_code": "326962006",
            "telephone_number": "352-528-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLISTON HEALTH CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STRAWN",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-217-2324"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1381096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M71",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02678300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raymond T Webber, DDS,MS
• April M Weber, APRN
• James Williams Jr.
• Williston Facility Inc
• Williston Family Practice,PA
• Williston Nursing and Rehab LLC
• Williston Pediatrics, Inc
• Williston Pediatrics, Inc
• Williston Rehabilitation and Nursing Center LLC
• Williston Rural Health and Wellness Clinic LLC

• Skilled Nursing Facility in Williston, FL
• Providers in Williston, 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 Aug 22, 2020; 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.