Spring Lake NC, LLC
Skilled Nursing Facility · Winter Haven, FL
Practice location
1540 6TH St NWWinter Haven, FL 33881-2368
- Phone
- (863) 294-3055
- Fax
- (863) 294-4210
NPI record
- NPI
- 1366439952
- Entity type
- Organization (Type 2)
- Enumeration date
- September 29, 2005
- Last updated
- July 29, 2014
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X |
SNF15110961 | FL |
Authorized official
- Name
- Mr. Samuel B. Kellett
- Title
- As Sole Member of SBK Capital LLC
- Phone
- (404) 233-7048
Other names
- Spring Lake Rehabilitation Center
About Spring Lake NC, LLC
Spring Lake NC, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 1540 6TH St NW, Winter Haven, FL 33881-2368. The NPI number 1366439952 was assigned on September 29, 2005 and the record was last updated on July 29, 2014.
Spring Lake NC, LLC lists a license in the registry: #SNF15110961 (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 Mr. Samuel B. Kellett, As Sole Member of SBK Capital LLC.
Frequently asked questions
What is the NPI number of Spring Lake NC, LLC?
The NPI number is 1366439952.
What is the phone number of Spring Lake NC, LLC?
The phone number listed for the practice location is (863) 294-3055.
Where is Spring Lake NC, LLC located?
1540 6TH St NW, Winter Haven, FL 33881-2368.
What is the taxonomy code for Spring Lake NC, 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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