Organization · Type 2 NPI

Deep Creek Rnc, LLC

Skilled Nursing Facility · Port Charlotte, FL

NPI number 1679560262 Active

Practice location

25325 Rampart Blvd
Port Charlotte, FL 33983

Fax (941) 629-9053

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	SNF14260961 (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…

4 other providers at this address

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NPI record

NPI: 1679560262
Entity type: Organization (Type 2)
Issued: Sep 29, 2005
Last updated: Jan 15, 2025
Status: Active

Other names

<unavail>
Port Charlotte Rehabilitation Center · doing business as
Port Charlotte Rehabilitation Center · doing business as

Authorized official

Leslie R Partee
Vice President of Finance
(404) 406-4150

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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 1679560262

Deep Creek Rnc, LLC's National Provider Identifier is 1679560262, issued on Sep 29, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Port Charlotte, FL. The record was last updated on Jan 15, 2025.