LP Bradenton LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1226095 Issued in FL

Legal business name

LP BRADENTON LLC

Doing business as

Heritage Park Care & Rehabilitation Center

Practice address

2302 59TH St W
Bradenton, FL 34209-7018

Phone

(941) 792-8480

Fax

(941) 794-8905

NPI assigned

Aug 5, 2007

Organization subpart

Yes

Parent organization

LP O HOLDINGS LLCAs reported in NPPES

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

Authorized official

Name

Mr. John Harrison

Title

Cfo

Phone

(502) 568-7800

Specialties & licenses 1

Addresses

Other names 1

• Heritage Park Care & Rehabilitation Center Doing business as

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1831380104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 BLUEGRASS PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992361",
            "telephone_number": "502-568-7800",
            "fax_number": "502-568-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 59TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342097018",
            "telephone_number": "941-792-8480",
            "fax_number": "941-794-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LP BRADENTON LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LP O HOLDINGS LLC",
        "enumeration_date": "2007-08-05",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "502-568-7800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1226095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Park Care & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Bradenton, FL
• Providers in Bradenton, 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 Sep 29, 2010; 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.