Healthcare Provider Details

I. General information

NPI: 1356855696
Provider Name (Legal Business Name): LA MER NH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/23/2017
Last Update Date: 06/27/2021
Certification Date: 06/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5280 SW 157TH AVE
MIAMI FL
33185-5297
US

IV. Provider business mailing address

4042 PARK OAKS BLVD STE 300
TAMPA FL
33610-9539
US

V. Phone/Fax

Practice location:
  • Phone: 813-635-9500
  • Fax:
Mailing address:
  • Phone: 813-635-9500
  • Fax: 813-675-2345

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: MOSHE SCHEINER
Title or Position: CEO
Credential:
Phone: 813-557-6200