Provider Demographics
NPI:1306830260
Name:THE HEALTH CENTER OF STUART, INC.
Entity Type:Organization
Organization Name:THE HEALTH CENTER OF STUART, INC.
Other - Org Name:PARKWAY HEALTH & REHAB CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:C
Authorized Official - Last Name:WINTERS
Authorized Official - Suffix:
Authorized Official - Credentials:NHA
Authorized Official - Phone:772-287-9912
Mailing Address - Street 1:800 SE CENTRAL PKWY
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-3901
Mailing Address - Country:US
Mailing Address - Phone:772-287-9912
Mailing Address - Fax:772-221-7250
Practice Address - Street 1:800 SE CENTRAL PKWY
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-3901
Practice Address - Country:US
Practice Address - Phone:772-287-9912
Practice Address - Fax:772-221-7250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSNF1361096314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL10-5687Medicare ID - Type Unspecified