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Indian River Center, Llc
Skilled Nursing Facility in West Melbourne, Florida
NPI 1164410197

Indian River Center, Llc is a Skilled Nursing Facility based in West Melbourne, FL. Indian River Center, Llc practices in West Melbourne, FL. The NPI Number for Indian River Center, Llc is 1164410197 and holds a License No. SNF1348096 (Florida).

The current practice location address for Indian River Center, Llc is 7201 Greenboro Dr, West Melbourne, FL and can be reached out via phone at 321-727-0990 and via fax at 321-951-4553.

Location: 7201 Greenboro Dr, West Melbourne, FL, 32904-1698
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164410197
Provider Name
Indian River Center, Llc
Credential
Provider Entity Type
Organization
Address
7201 Greenboro Dr, West Melbourne, FL, 32904-1698
Phone Number
321-727-0990
Fax Number
321-951-4553
Provider Enumeration Date
10/13/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
08845 01 MI BLUE CROSS BLUE SHIELD MI
70-00474 01 FL EVERCARE HH CONNECTION
0005900226 01 FL AETNA
C105673 01 FL UNITED AMERICAN
026066500 05 FL
K3M 01 FL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
7201 Greenboro Dr
City
West Melbourne
State
Florida
Zip
32904-1698
Phone Number
321-727-0990
Fax Number
321-951-4553
person
Provider Business Mailing Address Details
Address
7201 Greenboro Dr
City
West Melbourne
State
Florida
Zip
32904-1698
Phone Number
321-727-0990
Fax Number
321-951-4553
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
SNF1348096 (Florida)
Definition
(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.
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