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LIFE CARE PONTE VEDRA NPI 1417044579


NPI Information

NPI: 1417044579
Provider Name: LIFE CARE PONTE VEDRA

Doing Business As: VICAR'S LANDING

Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization

CLIA Number: 10D0645074

Address:
1003 YORK RD
PONTE VEDRA BEACH, FL
ZIP 32082
Phone: (904) 285-1055
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LIFE CARE PONTE VEDRA is a skilled nursing facility in Ponte Vedra Beach, 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. LIFE CARE PONTE VEDRA NPI is 1417044579. The provider is registered as an organization entity type.
The provider Is Doing Business As Vicar's Landing.

The provider's business location address is:

1003 YORK RD
PONTE VEDRA BEACH, FL
ZIP 32082-116
Phone: (904) 285-1055
Fax: (904) 273-9573

The provider's authorized official is Francine R Mcfarland .
The authorized official title is Director Of Nursing Services and has the following contact phone number (904) 285-1055.

The CLIA number assigned to this NPI record is 10D0645074 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/9/2006 and was last updated on 8/22/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1314000000XSkilled Nursing FacilitySNF1574095FLORIDAYes

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: 5/5/2024

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