Eastbrooke Health Care Associates LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1137096 Issued in FL

Legal business name

EASTBROOKE HEALTH CARE ASSOCIATES LLC

Doing business as

Heron Pointe Health and Rehabilitation

Practice address

1445 Howell Ave
Brooksville, FL 34601-1502

Phone

(352) 799-1451

Fax

(352) 796-3149

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Reginald L. Eldridge

Title

Manager

Phone

(352) 799-1451

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heron Pointe Health and Rehabilitation Doing business as

Locations

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388361600000",
    "number": "1881640340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 HOWELL AVE",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346011502",
            "telephone_number": "352-799-1451",
            "fax_number": "352-796-3149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 HOWELL AVE",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346011502",
            "telephone_number": "352-799-1451",
            "fax_number": "352-796-3149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTBROOKE HEALTH CARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2013-12-30",
        "status": "A",
        "authorized_official_last_name": "ELDRIDGE",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "352-799-1451"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1137096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025217400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heron Pointe Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Durfey, APRN
• Charles Russell Durr, PA
• Randall John Dutch, RPHT, CPHT
• Srinivas Dutt, M.D.
• Ayanna L Dyer
• Robert Edwin Ebert III, M.D.
• Hasan Eddib, MD
• Eden Home Helpers LLC
• Hollie Lynn Edwards
• Monte Edwards, PAC

• Skilled Nursing Facility in Brooksville, FL
• Providers in Brooksville, 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 Dec 30, 2013; 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.