Organization Active NPI

Mulberry Grove NH LLC

  • Skilled Nursing Facility
  • The Villages, FL
National Provider Identifier
1912264136
Registry record updated Jun 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF130471050 Issued in FL
Legal business name
MULBERRY GROVE NH LLC
Practice address
16529 SE 86TH Belle Meade Circle
The Villages, FL 32162
Phone
(352) 385-8200
Fax
(352) 385-8888
NPI assigned
Apr 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2021

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

Authorized official

Name
Moshe Scheiner
Title
Ceo
Phone
(813) 557-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF130471050 FL Primary

Addresses

Primary practice location

16529 SE 86TH Belle Meade Circle
The Villages, FL 32162

Mailing address

16529 SE 86TH Belle Meade Circle
The Villages, FL 32162
Phone (352) 385-8200

Other identifiers 1

IdentifierTypeStateIssuer
SNF130471050MedicaidFL

Other names 1

  • The Club Health and Rehabilitation Center at The Villages Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624752000000",
    "number": "1912264136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16529 SE 86TH BELLE MEADE CIRCLE",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "32162",
            "telephone_number": "352-385-8200",
            "fax_number": "352-385-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16529 SE 86TH BELLE MEADE CIRCLE",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "32162",
            "telephone_number": "352-385-8200",
            "fax_number": "352-385-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULBERRY GROVE NH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2021-06-27",
        "certification_date": "2021-06-27",
        "status": "A",
        "authorized_official_last_name": "SCHEINER",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-557-6200"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF130471050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SNF130471050",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Club Health and Rehabilitation Center at The Villages",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Club Health and Rehabilitation Center at The Villages",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in The Villages, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2021; 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.