Salem Villages Incorporated Holly Point Properties Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF30470961 Issued in FL

Legal business name

SALEM VILLAGES INCORPORATED HOLLY POINT PROPERTIES INC

Doing business as

South Tampa Health and Rehabilitation Center

Practice address

4610 S Manhattan Ave
Tampa, FL 33611-2308

Phone

(813) 839-5311

Fax

(813) 839-4728

NPI assigned

Dec 9, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Lavern Patrick Herzog

Title

President

Phone

(386) 956-6956

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• South Tampa Health and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1841275195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 S MANHATTAN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336112308",
            "telephone_number": "813-839-5311",
            "fax_number": "813-839-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 S MANHATTAN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336112308",
            "telephone_number": "813-839-5311",
            "fax_number": "813-839-4728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM VILLAGES INCORPORATED HOLLY POINT PROPERTIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "HERZOG",
        "authorized_official_first_name": "LAVERN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-956-6956",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF30470961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022491000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Tampa Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alaa Saleh
• Bilal Ahmad M Saleh, M.D.
• Emam Saleh, M.D.
• Jehad Saleh, ARNP
• Mareham Saleh, PHARM.D.
• Areej Salem, MD
• Lourdes Katy Salem
• Sham Patricia Salem
• Donna Gail Sales, ARNP
• Ricardo Sales, LMT

• Skilled Nursing Facility in Tampa, FL
• Providers in Tampa, 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 May 9, 2012; 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.