Healthcare Provider Details
I. General information
NPI: 1598511958
Provider Name (Legal Business Name): NURSING AND REHABILITATION CENTER OF MELBOURNE 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
3033 SARNO RD
MELBOURNE FL
32934-7229
US
IV. Provider business mailing address
3033 SARNO RD
MELBOURNE FL
32934-7229
US
V. Phone/Fax
- Phone: 321-255-9200
- Fax:
- Phone: 321-255-9200
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHAIM
LEIBOWITZ
Title or Position: EVP
Credential:
Phone: 321-255-9200