Healthcare Provider Details

I. General information

NPI: 1831945294
Provider Name (Legal Business Name): HERITAGE PARK CARE AND REHABILITATION CENTER BY HARBORVIEW LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2024
Last Update Date: 03/21/2025
Certification Date: 03/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2302 59TH ST W
BRADENTON FL
34209-7018
US

IV. Provider business mailing address

2302 59TH ST W
BRADENTON FL
34209-7018
US

V. Phone/Fax

Practice location:
  • Phone: 941-792-8480
  • Fax:
Mailing address:
  • Phone: 941-792-8480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: CHAIM LEIBOWITZ
Title or Position: EVP
Credential:
Phone: 941-792-8480