Provider Demographics
NPI:1558858951
Name:STUART REHAB AND HEALTHCARE LLC
Entity Type:Organization
Organization Name:STUART REHAB AND HEALTHCARE LLC
Other - Org Name:STUART REHABILITATION AND HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ZEV
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEMESH
Authorized Official - Suffix:
Authorized Official - Credentials:NHA
Authorized Official - Phone:786-512-7848
Mailing Address - Street 1:1500 SE PALM BEACH RD
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-4044
Mailing Address - Country:US
Mailing Address - Phone:772-283-5887
Mailing Address - Fax:
Practice Address - Street 1:1500 SE PALM BEACH RD
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994
Practice Address - Country:US
Practice Address - Phone:772-283-5887
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-20
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility