Organization · Type 2 NPI

11565 Harts Road Operations LLC

Skilled Nursing Facility · Jacksonville, FL

NPI number 1669741302 Active

Practice location

11565 Harts Rd
Jacksonville, FL 32218-3777

Fax (904) 751-0272

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	SNF15640961 (FL)

Skilled Nursing Facility: (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 r…

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NPI record

NPI: 1669741302
Entity type: Organization (Type 2)
Issued: Dec 27, 2011
Last updated: Sep 13, 2024
Status: Active

Other names

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Harts Harbor Health Care Center · doing business as
Harts Harbor Health Care Center · doing business as

Authorized official

Miriam C. Pastor
Manager
(786) 457-2383

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1669741302

11565 Harts Road Operations LLC's National Provider Identifier is 1669741302, issued on Dec 27, 2011. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 13, 2024.