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DYNAMIC REHAB CENTER NPI 1972705465


NPI Information

NPI: 1972705465
Provider Name: DYNAMIC REHAB CENTER
Classification: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization - 251T00000X
Entity Type: Organization
Address:
10512 NORTHCLIFFE BLVD
SPRING HILL, FL
ZIP 34608
Phone: (352) 688-3636
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DYNAMIC REHAB CENTER is a program of all inclusive care for the elderly pace provider organization in Spring Hill, FL. The provider is a PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. DYNAMIC REHAB CENTER NPI is 1972705465. The provider is registered as an organization entity type.

The provider's business location address is:

10512 NORTHCLIFFE BLVD
SPRING HILL, FL
ZIP 34608-766
Phone: (352) 688-3636
Fax: (352) 688-1333

The provider's authorized official is Kerry Fitzgerald .
The authorized official title is Owner and has the following contact phone number (352) 688-3636.

The enumeration date for this NPI number is 6/5/2007 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
1251T00000XProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationPTA15331FLORIDAYes

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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