Active NPI
Sylvan Health Systems LLC
- Skilled Nursing Facility
- Clearwater, FL
National Provider Identifier
1912924952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 105
- Legal business name
- SYLVAN HEALTH SYSTEMS LLC
- Practice address
- 2770 Regency Oaks Blvd
Clearwater, FL 33759-1509 - Phone
- (727) 791-1500
- Fax
- (727) 791-7743
- NPI assigned
- Jul 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Betty Ruth Breden, LICENSED NHA
- Title
- Administrator
- Phone
- (727) 791-1500
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 105 | FL | Primary |
| Skilled Nursing Facility | 314000000X | 022 | FL |
Addresses
Primary practice location
2770 Regency Oaks Blvd
Clearwater, FL 33759-1509
Mailing address
2770 Regency Oaks Blvd
Clearwater, FL 33759-1509
Phone (727) 791-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022916400 | Medicaid | FL |
Other names 1
- Sylvan Health Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1310515200000",
"number": "1912924952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2770 REGENCY OAKS BLVD",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337591509",
"telephone_number": "727-791-1500",
"fax_number": "727-791-7743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2770 REGENCY OAKS BLVD",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337591509",
"telephone_number": "727-791-1500",
"fax_number": "727-791-7743"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYLVAN HEALTH SYSTEMS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-16",
"last_updated": "2011-07-13",
"status": "A",
"authorized_official_last_name": "BREDEN",
"authorized_official_first_name": "BETTY",
"authorized_official_middle_name": "RUTH",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "727-791-1500",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LICENSED NHA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "FL",
"license": "105",
"primary": true
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "FL",
"license": "022",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022916400",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sylvan Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.