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PENNEY RETIREMENT COMMUNITY NPI 1700021599


NPI Information

NPI: 1700021599
Provider Name: PENNEY RETIREMENT COMMUNITY
Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
Entity Type: Organization
Address:
2 PAVILION PLACE
PENNEY FARMS, FL
ZIP 32079
Phone: (904) 284-8579
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PENNEY RETIREMENT COMMUNITY is a nursing facility intermediate care facility in Penney Farms, FL. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. PENNEY RETIREMENT COMMUNITY NPI is 1700021599. The provider is registered as an organization entity type.

The provider's business location address is:

2 PAVILION PLACE
PENNEY FARMS, FL
ZIP 32079
Phone: (904) 284-8579

The provider's authorized official is Paul Whitney Jewett .
The authorized official title is Physician Volunteer and has the following contact phone number (904) 284-4078.

The enumeration date for this NPI number is 12/8/2008 and was last updated on 12/8/2008.


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
1313M00000XNursing Facility/Intermediate Care FacilityLL598FLORIDAYes

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
1=========MEDICARE UPINFLORIDA

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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