Courtyard Millpond Operations,LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

COURTYARD MILLPOND OPERATIONS,LLC

Doing business as

Courtyard Rehabilitation & Nursing Center

Practice address

2600 Forest Glen TRL
Marianna, FL 32446-0100

Phone

(850) 526-2000

Fax

(850) 526-3000

NPI assigned

Oct 20, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Annette Barnes Jansenius

Title

Administrator

Phone

(850) 526-2000

Specialties & licenses 1

Addresses

Other names 1

• Courtyard Rehabilitation & Nursing Center Doing business as

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831188952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 FOREST GLEN TRL",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324460100",
            "telephone_number": "850-526-2000",
            "fax_number": "850-526-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 FOREST GLEN TRL",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324460100",
            "telephone_number": "850-526-2000",
            "fax_number": "850-526-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTYARD MILLPOND OPERATIONS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JANSENIUS",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "BARNES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-526-2000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Courtyard Rehabilitation & Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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