Organization Active NPI

Fletcher Health Care Associates LLC

  • Skilled Nursing Facility
  • Tampa, FL
National Provider Identifier
1932155918
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF1071096 Issued in FL
Legal business name
FLETCHER HEALTH CARE ASSOCIATES LLC
Doing business as
Fletcher Health and Rehabilitation Center
Practice address
518 W Fletcher Ave
Tampa, FL 33612-3419
Phone
(813) 265-1600
Fax
(813) 964-0505
NPI assigned
May 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Authorized official

Name
David W. Cross
Title
Manager
Phone
(813) 265-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF1071096 FL Primary

Addresses

Primary practice location

518 W Fletcher Ave
Tampa, FL 33612-3419

Mailing address

518 W Fletcher Ave
Tampa, FL 33612-3419
Phone (813) 265-1600

Other identifiers 1

IdentifierTypeStateIssuer
025222100MedicaidFL

Other names 1

  • Fletcher Health and Rehabilitation Center 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": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1932155918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 W FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123419",
            "telephone_number": "813-265-1600",
            "fax_number": "813-964-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 W FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123419",
            "telephone_number": "813-265-1600",
            "fax_number": "813-964-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLETCHER HEALTH CARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-265-1600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1071096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025222100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fletcher Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.