Ltcsp Pasadena, LLC

Skilled Nursing Facility · South Pasadena, FL

Organization Active NPI

NPI number 1124022603

Practice location

1430 Pasadena Ave S
South Pasadena, FL 33707-3716
Phone
(727) 347-1257
Fax
(727) 381-5407

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NPI record

NPI
1124022603
Entity type
Organization (Type 2)
Enumeration date
June 13, 2005
Last updated
October 5, 2012
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X SNF14320962 FL

Mailing address

1675 Palm Beach Lakes Blvd
Suite 900
West Palm Beach, FL 33401
Phone
(561) 801-7600
Fax
(414) 268-4811

Authorized official

Name
Howard Jaffe
Title
President
Phone
(215) 346-6454

Other names

  • Pasadena Manor

About Ltcsp Pasadena, LLC

Ltcsp Pasadena, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 1430 Pasadena Ave S, South Pasadena, FL 33707-3716. The NPI number 1124022603 was assigned on June 13, 2005 and the record was last updated on October 5, 2012.

Ltcsp Pasadena, LLC lists a license in the registry: #SNF14320962 (FL) for Skilled Nursing Facility. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Howard Jaffe, President.

Frequently asked questions

What is the NPI number of Ltcsp Pasadena, LLC?

The NPI number is 1124022603.

What is the phone number of Ltcsp Pasadena, LLC?

The phone number listed for the practice location is (727) 347-1257.

Where is Ltcsp Pasadena, LLC located?

1430 Pasadena Ave S, South Pasadena, FL 33707-3716.

What is the taxonomy code for Ltcsp Pasadena, LLC?

The primary taxonomy code is 314000000X – Skilled Nursing Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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