INDIAN RIVER CENTER LLC NPI 1164410197

NPI Information

  • NPI: 1164410197
  • Provider Name: INDIAN RIVER CENTER, LLC
  • Classification: Skilled Nursing Facility - 314000000X
  • Entity Type: Organization
  • Doing Business As: INDIAN RIVER CENTER
  • CLIA Number: 10D0884426
  • Address: 7201 GREENBORO DR
    WEST MELBOURNE, FL
    ZIP 32904
  • Phone: (321) 727-0990

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NPI Details

INDIAN RIVER CENTER, LLC is a skilled nursing facility in West Melbourne, 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. INDIAN RIVER CENTER, LLC NPI is 1164410197. The provider is registered as an organization entity type.
The provider Is Doing Business As Indian River Center.

The provider's business location address is:

7201 GREENBORO DR
WEST MELBOURNE, FL
ZIP 32904-698
Phone: (321) 727-0990
Fax: (321) 951-4553

The provider's authorized official is Monica Terrano .
The authorized official title is Chief Financial Officer and has the following contact phone number (819) 852-7000.

The CLIA number assigned to this NPI record is 10D0884426 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/13/2005 and was last updated on 2/27/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1314000000XSkilled Nursing FacilitySNF1348096FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
108845OTHERMICHIGANBLUE CROSS BLUE SHIELD MI
270-00474OTHERFLORIDAEVERCARE HH CONNECTION
30005900226OTHERFLORIDAAETNA
4C105673OTHERFLORIDAUNITED AMERICAN
5026066500MEDICAIDFLORIDA
6K3MOTHERFLORIDABLUE CROSS BLUE SHIELD

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: 11/21/2025

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