NORTHDALE REHABILITATION CENTER – NPI #1457846453
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 reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

NORTHDALE REHABILITATION CENTER is a skilled nursing facility (SNF) located in TAMPA, FL. NPPES has assigned the NPI number 1457846453 to NORTHDALE REHABILITATION CENTER on June 22, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NORTHDALE REHABILITATION CENTER” is a dba name, the actual legal business name for this organization is CARROLLWOOD REHABILITATION CENTER LLC. The primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

The NPI profile was previously updated about 7 years ago on Jul 29, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORTHDALE REHABILITATION CENTER below.

NPI Profile for
CARROLLWOOD REHABILITATION CENTER LLC

NPI Number
1457846453
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CARROLLWOOD REHABILITATION CENTER LLC
Doing Business As (dba): NORTHDALE REHABILITATION CENTER
Primary location
3030 W BEARSS AVE
TAMPA, FL 33618-1811
Phone: (813) 698-8777 Fax:
Mailing address
101 SUNNYTOWN RD STE 201
CASSELBERRY, FL 32707-3862
Phone: (407) 830-5309 Fax: (407) 830-7775
Organization Subpart
Yes - NORTHDALE REHABILITATION CENTER is subpart of another organization.
Authorized Official
DON MELTON
CFO
Phone: (407) 830-5309
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
314000000X
- Skilled Nursing Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.