Provider Demographics
NPI:1275521213
Name:RULEME CENTER, LLC
Entity Type:Organization
Organization Name:RULEME CENTER, LLC
Other - Org Name:RULEME CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP FINANCE
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ALISE
Authorized Official - Last Name:ZIOLKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:813-558-6629
Mailing Address - Street 1:2810 RULEME ST
Mailing Address - Street 2:
Mailing Address - City:EUSTIS
Mailing Address - State:FL
Mailing Address - Zip Code:32726-6527
Mailing Address - Country:US
Mailing Address - Phone:352-357-1990
Mailing Address - Fax:352-357-5056
Practice Address - Street 1:2810 RULEME ST
Practice Address - Street 2:
Practice Address - City:EUSTIS
Practice Address - State:FL
Practice Address - Zip Code:32726-6527
Practice Address - Country:US
Practice Address - Phone:352-357-1990
Practice Address - Fax:352-357-5056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-13
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSNF11450961314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLC105855OtherUNITED AMERICAN
FL71-00458OtherEVERCARE HH CONNECTION
FL0004439762OtherAETNA
FL026045200Medicaid
FLL3DOtherBLUE CROSS BLUE SHIELD
FL========= 32726 0000OtherTRICARE
105855Medicare Oscar/Certification