Provider Demographics
NPI:1609167600
Name:GREENVILLE HLTH MGMT LLC
Entity Type:Organization
Organization Name:GREENVILLE HLTH MGMT LLC
Other - Org Name:CROSSWINDS HEALTH AND REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:HUDSON
Authorized Official - Last Name:FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-367-4563
Mailing Address - Street 1:5000 N OCEAN BLVD
Mailing Address - Street 2:SUITE 1104
Mailing Address - City:LAUDERDALE BY THE SEA
Mailing Address - State:FL
Mailing Address - Zip Code:33308-2929
Mailing Address - Country:US
Mailing Address - Phone:404-456-9926
Mailing Address - Fax:954-367-4564
Practice Address - Street 1:13455 WEST US HIGHWAY 90
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:FL
Practice Address - Zip Code:32331
Practice Address - Country:US
Practice Address - Phone:850-948-4601
Practice Address - Fax:850-948-6428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-25
Last Update Date:2013-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility