Provident Group - Citrus Health and Rehabilitation Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

13265 Issued in FL

Legal business name

PROVIDENT GROUP - CITRUS HEALTH AND REHABILITATION CENTER, LLC

Practice address

701 Medical CT E
Inverness, FL 34452-4616

Phone

(352) 860-0200

Fax

(352) 860-0975

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Marla Page Scannicchio

Title

VP/Director of Accounting

Phone

(225) 766-3977

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821020827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 MEDICAL CT E",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524616",
            "telephone_number": "352-860-0200",
            "fax_number": "352-860-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 MEDICAL CT E",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524616",
            "telephone_number": "352-860-0200",
            "fax_number": "352-860-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENT GROUP - CITRUS HEALTH AND REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCANNICCHIO",
        "authorized_official_first_name": "MARLA",
        "authorized_official_middle_name": "PAGE",
        "authorized_official_title_or_position": "VP/DIRECTOR OF ACCOUNTING",
        "authorized_official_telephone_number": "225-766-3977",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "13265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean-Patrick Alexander Prince, MD
• Progressive Health Management Inc. (BayCare Inverness and BayCare Health Management)
• Project Health Inc (Langley Health Services)
• Project Health Inc (Langley Health Services)
• Project Health Inc (Langley Health Services)
• Publix Super Markets Inc (Publix Pharmacy #1448)
• Frances A Pulice, PA
• Pure Restoration Assisted Living, LLC
• Tai Quach, MD
• Quest 4 Health Sports Therapy

• Skilled Nursing Facility in Inverness, FL
• Providers in Inverness, 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.