EAGLE LAKE REHAB & NURSING LLC
NPI 1164798104
Skilled Nursing Facility in St Petersburg, FL
About Eagle Lake Rehab & Nursing Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAGLE LAKE REHAB & NURSING LLC (NPI 1164798104) is a healthcare organization registered as a skilled nursing facility in St Petersburg, Florida and active in the NPI registry since March 2012. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Lynda Hebbeln, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D0718606
Eagle Lake Opco, LLC · Saint Petersburg, FLOther Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ST PETERSBURG, FL 33710
SAINT PETERSBURG, FL 33710
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Eagle Lake Rehab & Nursing LLC's NPI number?
The NPI number for Eagle Lake Rehab & Nursing LLC is 1164798104. It was assigned to this organization in the NPPES registry on March 23, 2012.
Where is Eagle Lake Rehab & Nursing LLC located?
Eagle Lake Rehab & Nursing LLC is located at 1100 66th St N, St Petersburg, FL 33710. The listed phone number is (727) 345-9331.
What is Eagle Lake Rehab & Nursing LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Eagle Lake Rehab & Nursing LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D0718606) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Eagle Lake Rehab & Nursing LLC was last updated on March 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.