Healthcare Provider Details

I. General information

NPI: 1376587550
Provider Name (Legal Business Name): PRESBYTERIAN RETIREMENT COMMUNITIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1533 4TH AVE W
BRADENTON FL
34205-5949
US

IV. Provider business mailing address

80 W LUCERNE CIR
ORLANDO FL
32801-3779
US

V. Phone/Fax

Practice location:
  • Phone: 941-747-1881
  • Fax: 941-749-6776
Mailing address:
  • Phone: 407-839-5050
  • Fax: 407-849-1718

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberSNF1598096
License Number StateFL

VIII. Authorized Official

Name: HENRY THOMAS KEITH
Title or Position: CEO
Credential:
Phone: 407-839-5050