Provider Demographics
NPI:1851306658
Name:SPRING VIEW HEALTH & REHAB CENTER, INC.
Entity Type:Organization
Organization Name:SPRING VIEW HEALTH & REHAB CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASST. SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:RODMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-975-3011
Mailing Address - Street 1:485 N KELLER RD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-7503
Mailing Address - Country:US
Mailing Address - Phone:407-975-3000
Mailing Address - Fax:407-975-3090
Practice Address - Street 1:718 GOODWIN LN
Practice Address - Street 2:
Practice Address - City:LEITCHFIELD
Practice Address - State:KY
Practice Address - Zip Code:42754-1400
Practice Address - Country:US
Practice Address - Phone:270-259-4036
Practice Address - Fax:270-259-3205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY100149314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100018180Medicaid
KY5953650001Medicare NSC
KY2624710004Medicare NSC
KY185309Medicare Oscar/Certification