Healthcare Provider Details

I. General information

NPI: 1851306658
Provider Name (Legal Business Name): SPRING VIEW HEALTH & REHAB CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 12/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

718 GOODWIN LN
LEITCHFIELD KY
42754-1400
US

IV. Provider business mailing address

485 N KELLER RD SUITE 250
MAITLAND FL
32751-7503
US

V. Phone/Fax

Practice location:
  • Phone: 270-259-4036
  • Fax: 270-259-3205
Mailing address:
  • Phone: 407-975-3000
  • Fax: 407-975-3090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number100149
License Number StateKY

VIII. Authorized Official

Name: MR. DAVID RODMAN
Title or Position: ASST. SECRETARY
Credential:
Phone: 407-975-3011