Jacaranda Manor

Skilled Nursing Facility · Kenneth City, FL

Organization Active NPI

NPI number 1205834413

Practice location

4250 66TH St N
Kenneth City, FL 33709-4918
Phone
(727) 546-2405
Fax
(727) 541-5154

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NPI record

NPI
1205834413
Entity type
Organization (Type 2)
Enumeration date
July 12, 2005
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X SNF1252096 FL

Authorized official

Name
Ms. Terri M Walker, NHA
Title
Administrator
Phone
(727) 546-2405

About Jacaranda Manor

Jacaranda Manor is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 4250 66TH St N, Kenneth City, FL 33709-4918. The NPI number 1205834413 was assigned on July 12, 2005 and the record was last updated on August 22, 2020.

Jacaranda Manor lists a license in the registry: #SNF1252096 (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 Ms. Terri M Walker, NHA, Administrator.

Frequently asked questions

What is the NPI number of Jacaranda Manor?

The NPI number is 1205834413.

What is the phone number of Jacaranda Manor?

The phone number listed for the practice location is (727) 546-2405.

Where is Jacaranda Manor located?

4250 66TH St N, Kenneth City, FL 33709-4918.

What is the taxonomy code for Jacaranda Manor?

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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