Provider Demographics
NPI:1528014453
Name:PINEHURST HEALTH CARE ASSOCIATES LLC
Entity Type:Organization
Organization Name:PINEHURST HEALTH CARE ASSOCIATES LLC
Other - Org Name:SEAVIEW NURSING AND REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:DESALVO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-943-5100
Mailing Address - Street 1:2401 NE 2ND ST
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33062-4806
Mailing Address - Country:US
Mailing Address - Phone:954-943-5100
Mailing Address - Fax:954-783-9423
Practice Address - Street 1:2401 NE 2ND ST
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062-4806
Practice Address - Country:US
Practice Address - Phone:954-943-5100
Practice Address - Fax:954-783-9423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2013-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSNF1441096314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL025243300Medicaid
105258Medicare Oscar/Certification