Provider Demographics
NPI:1780683854
Name:HEALTH CENTER OF NAPLES INC
Entity Type:Organization
Organization Name:HEALTH CENTER OF NAPLES INC
Other - Org Name:ARISTOCRAT
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DELRIO
Authorized Official - Suffix:
Authorized Official - Credentials:LICENSED ADMINISTRAT
Authorized Official - Phone:239-592-5501
Mailing Address - Street 1:10949 PARNU ST
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-1405
Mailing Address - Country:US
Mailing Address - Phone:239-592-5501
Mailing Address - Fax:239-592-1774
Practice Address - Street 1:10949 PARNU ST
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-1405
Practice Address - Country:US
Practice Address - Phone:239-592-5501
Practice Address - Fax:239-592-1774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-20
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL105790314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL022529100Medicaid
FL105790Medicare Oscar/Certification