Organization · Type 2 NPI

Bonita Springs Retirement Village, Inc.

Skilled Nursing Facility · Bonita Springs, FL

NPI number 1700126802 Active

Practice location

26455 S Tamiami Trl
Bonita Springs, FL 34134-7815

Fax (239) 949-7559

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility	314000000X	None listed
Skilled Nursing Facility Primary	314000000X	SNF130471054 (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…

5 other providers at this address

NPI record

NPI: 1700126802
Entity type: Organization (Type 2)
Issued: Feb 26, 2013
Last updated: Nov 13, 2024
Status: Active

Other names

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The Terraces at Bonita Springs · doing business as
The Terraces at Bonita Springs · doing business as

Authorized official

Mr. Karl Goedert
Controller
(352) 337-8798

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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 1700126802

Bonita Springs Retirement Village, Inc.'s National Provider Identifier is 1700126802, issued on Feb 26, 2013. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Bonita Springs, FL. The record was last updated on Nov 13, 2024.