Provider Demographics
NPI:1235249368
Name:HEALTH FACILITIES INC.
Entity Type:Organization
Organization Name:HEALTH FACILITIES INC.
Other - Org Name:TRI COUNTY NURSING HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NURSING HOME ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:FAYE
Authorized Official - Middle Name:D
Authorized Official - Last Name:HURST
Authorized Official - Suffix:
Authorized Official - Credentials:NHA
Authorized Official - Phone:352-463-1222
Mailing Address - Street 1:7280 SW STATE ROAD 26
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:FL
Mailing Address - Zip Code:32693-5881
Mailing Address - Country:US
Mailing Address - Phone:352-463-1222
Mailing Address - Fax:352-463-1855
Practice Address - Street 1:7280 SW STATE ROAD 26
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:FL
Practice Address - Zip Code:32693-5881
Practice Address - Country:US
Practice Address - Phone:352-463-1222
Practice Address - Fax:352-463-1855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSNF1563096314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0973910001Medicare NSC
FL105770Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER