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.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Nursing Facility/Intermediate Care Facility | 313M00000X |
* Indicates primary specialty
| NPI Number | 1154723955 |
| Credentials | PTA (Physical Therapist Assistant) |
| Entity | Individual |
| Enumeration date | 09/23/2014 |
| Last updated | 10/30/2025 - About 7 months ago |
| Sole proprietor1 | Yes |
| Identifiers |
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| Hospital affiliation | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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