HAMLIN TERRACE FOUNDATION (RIDGE TERRACE HEALTHCARE CENTER) - NPI NUMBER 1376692582

Summary

Provider Name: HAMLIN TERRACE FOUNDATION (RIDGE TERRACE HEALTHCARE CENTER)

NPI Number: 1376692582

Clasification: Skilled Nursing Facility (314000000X)

Address:
2180 HYPOLUXO RD
LANTANA, FL
ZIP 33462

Phone Number: (561) 582-6711



Detailed Information

HAMLIN TERRACE FOUNDATION is a skilled nursing facility in Lantana, FL. The provider is (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. The assigned NPI number for this provider is 1376692582 and is registered as an organization entity type.
The provider Is Doing Business As Ridge Terrace Healthcare Center.

The provider's business address is:

2180 HYPOLUXO RD
LANTANA, FL
ZIP 33462-922
Phone: (561) 582-6711
Fax: (561) 582-2675

The provider's authorized official is Dawn M Crews .
The authorized official title is Business Office Manager and has the following contact phone number (561) 582-6711.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 5/1/2008.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 314000000X Skilled Nursing Facility SNF1474095 FL Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 025958600 MEDICAID FL
2 105485 MEDICARE OSCAR/CERTIFICATION FL

NPI Record

No. Field Name Field Value
1 NPI 1376692582
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name HAMLIN TERRACE FOUNDATION
5 Provider Other Organization Name RIDGE TERRACE HEALTHCARE CENTER
6 Provider Other Organization Name Type Code 3
7 Provider First Line Business Practice Location Address 2180 HYPOLUXO RD
8 Provider Business Practice Location Address City Name LANTANA
9 Provider Business Practice Location Address State Name FL
10 Provider Business Practice Location Address Postal Code 334623922
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 5615826711
13 Provider Business Practice Location Address Fax Number 5615822675
14 Provider Enumeration Date 1/9/2007
15 Last Update Date 5/1/2008
16 Authorized Official Last Name CREWS
17 Authorized Official First Name DAWN
18 Authorized Official Middle Name M
19 Authorized Official Title or Position BUSINESS OFFICE MANAGER
20 Authorized Official Telephone Number 5615826711
21 Healthcare Provider Taxonomy Code 1 314000000X
22 Provider License Number 1 SNF1474095
23 Provider License Number State Code 1 FL
24 Healthcare Provider Primary Taxonomy Switch 1 Y
25 Other Provider Identifier 1 025958600
26 Other Provider Identifier Type Code 1 05
27 Other Provider Identifier State 1 FL
28 Other Provider Identifier 2 105485
29 Other Provider Identifier Type Code 2 06
30 Other Provider Identifier State 2 FL
31 Is Organization Subpart N
32 Authorized Official Name Prefix Text MRS.

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This page was last updated on: 11/14/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.