MEDICARE: HAMPTON COURT NURSING CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	SNF11930952	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265694558
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAMPTON COURT NURSING CENTER LLC

Provider Business Mailing Address
First Line	:	16100 NW 2ND AVE
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33169-6504
Country	:	US
Telephone Number	:	305-354-8800
Fax Number	:	305-354-8888

Provider Business Practice Location Address
First Line	:	16100 NW 2ND AVE
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33169-6504
Country	:	US
Telephone Number	:	305-354-8800
Fax Number	:	305-354-8888

Authorized Official
Title or Position	:	CEO
Name	:	MS. HELAYNE STERN
Credential	:	REGISTERED NURSE
Telephone Number	:	305-354-8800

Provider Enumeration Date	:	06/27/2008
Last Update Date	:	12/04/2013

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