Belleair East Hcc, LLC
Skilled Nursing Facility in Clearwater, FL. Organization (NPI-2).
NPI number1891782488
StatusActive
Last updated in NPPESOct 19, 2009
Details
- NPI
- 1891782488
- Entity type
- Organization (NPI-2)
- Legal business name
- Belleair East Hcc, LLC
- Organization subpart
- No
- Enumeration date
- Sep 29, 2005
- Last updated
- Oct 19, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | SNF10480962 | FL | Yes |
Other names
- Belleair Health Care Center (Doing Business As)
Practice location
1150 Ponce De Leon BlvdClearwater, FL 33756-1041
Phone 727-585-5491 · Fax 727-584-5893
Mailing address
1150 Ponce De Leon BlvdClearwater, FL 33756-1041
Phone 727-585-5491 · Fax 727-584-5893
Authorized official
Samuel B. Kellett
As Sole Member Of Sbk Capital LLC
4042337048
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