MEDICARE: HEALTH CARE DISTRICT OF PALM BEACH COUNTY

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	NSF14030961	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

General Provider Information

NPI Number	:	1487658985
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH CARE DISTRICT OF PALM BEACH COUNTY

Provider Business Mailing Address
First Line	:	1515 N FLAGLER DR STE 101
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-3429
Country	:	US
Telephone Number	:	561-659-1270
Fax Number	:	561-842-6713

Provider Business Practice Location Address
First Line	:	5101 W. BLUE HERON BLVD.
Second Line	:
City	:	RIVIERA BEACH
State	:	FL
Zip	:	33418-7831
Country	:	US
Telephone Number	:	561-842-6111
Fax Number	:	561-842-6713

Authorized Official
Title or Position	:	CEO
Name	:	DARCY J DAVIS
Credential	:
Telephone Number	:	561-804-5885

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	03/10/2020

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Directions to “HEALTH CARE DISTRICT OF PALM BEACH COUNTY ” Practice Location

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