Northport Health Services Of Florida, Llc, NPI 1205881646
Skilled Nursing Facility in Daytona Beach, FL, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1205881646
NPI Entity Type Organization
Provider Name Northport Health Services Of Florida, Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 1055 3rd St, Daytona Beach, FL, US
Provider Mailing Address 1055 3rd St, Daytona Beach, FL, US, 321174101
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Phillip Cody Long
Official Position CFO
Phone 205-391-3600

Primary Taxonomy

Taxonomy Code

314000000X

Taxonomy Name Skilled Nursing Facility
Classification

Skilled Nursing Facility

Group

Nursing & Custodial Care Facilities

License No. SNF11210961
License State FL
Description (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.

Other Organization Name

Daytona Beach Health & Rehabilitation Center
Doing Business As

Business Address

Northport Health Services Of Florida, Llc
1055 3rd St

Daytona Beach, FL, US

Phone: 386-252-3686

Mailing Address

Northport Health Services Of Florida, Llc
1055 3rd St
Daytona Beach, FL, US
ZIP 321174101

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
021774300 FL MEDICAID 05
1320620004 DME SUPPLIER # 01

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