Provider Type Icon

ST JOHNS REHABILITATION HOSPITAL AND NURSING CENTER INC NPI 1124016688


NPI Information

NPI: 1124016688
Provider Name: ST JOHNS REHABILITATION HOSPITAL AND NURSING CENTER INC

Doing Business As: ST. ANTHONY'S REHABILITATION HOSPITAL

Classification: Rehabilitation Hospital - 283X00000X
Entity Type: Organization

CLIA Number: 10D1046273

Address:
3487 NW 30TH ST
LAUDERDALE LAKES, FL
ZIP 33311
Phone: (954) 739-6233
Get Directions

ST JOHNS REHABILITATION HOSPITAL AND NURSING CENTER INC is a rehabilitation hospital in Lauderdale Lakes, FL. The provider is a hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. ST JOHNS REHABILITATION HOSPITAL AND NURSING CENTER INC NPI is 1124016688. The provider is registered as an organization entity type.
The provider Is Doing Business As St. Anthony's Rehabilitation Hospital.

The provider's business location address is:

3487 NW 30TH ST
LAUDERDALE LAKES, FL
ZIP 33311-103
Phone: (954) 739-6233
Fax: (954) 485-4023

The provider's authorized official is Jaime Gonzalez .
The authorized official title is Regional Dir. Hospital Operations and has the following contact phone number (954) 739-6233.

The CLIA number assigned to this NPI record is 10D1046273 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/10/2005 and was last updated on 1/30/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1300XClinic/CenterMulti-SpecialtyFL4478FLORIDANo
2283X00000XRehabilitation HospitalFL4478FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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.