EAGLE LAKE REHAB & CARE CENTER
NPI 1225046584
Skilled Nursing Facility in St Petersburg, FL

Active since August 03, 2006
1100 66TH ST N, ST PETERSBURG, FL 33710(727) 345-9331(727) 345-7064 Get Directions Write a Review

NPPES record last updated: November 5, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eagle Lake Rehab & Care Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAGLE LAKE REHAB & CARE CENTER (NPI 1225046584) is a healthcare organization registered as a skilled nursing facility in St Petersburg, Florida and active in the NPI registry since August 2006. The organization lists Lynda Hebbeln, Vp Of Acct & Finance, as its authorized official.

NPPES Registry Identity

NPI1225046584
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameEAGLE LAKE FOUNDATION INC
Location Address1100 66TH ST NSt Petersburg, FL 33710-6224
Mailing Address24641 Us Highway 19 NClearwater, FL 33763-5007 · (727) 723-3000 · Fax (727) 723-3076
Fax(727) 345-7064
Organization SubpartNo
Authorized OfficialLynda HebbelnVp Of Acct & Finance · (727) 723-3000
Enumeration DateAugust 3, 2006
Last NPPES UpdateNovember 5, 2010
NPI 1225046584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in FL · SNF15650961
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
1100 66TH ST N, St Petersburg, FL 33710

Other Names 1

Doing Business AsEagle Lake Rehab & Care Center

Other Identifiers 3

OtherL43FL · Blue Cross Provider #
Medicare ID-Type Unspecified105292FL · Provider #
Medicaid031106500FL

Accepted Insurance

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
1100 66TH ST N
ST PETERSBURG, FL 33710
Skilled Nursing Facility
1100 66TH ST N
ST PETERSBURG, FL 33710
Nursing Facility/Intermediate Care Facility
1100 66TH ST N
ST PETERSBURG, FL 33710
Social Worker (Clinical)
1100 66TH ST N
ST PETERSBURG, FL 33710
Skilled Nursing Facility
1100 66TH ST N
SAINT PETERSBURG, FL 33710
Skilled Nursing Facility
1100 66TH ST N
ST PETERSBURG, FL 33710
Physical Therapist
1100 66TH ST N
ST 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 Foundation Inc's NPI number?

The NPI number for Eagle Lake Foundation Inc is 1225046584. It was assigned to this organization in the NPPES registry on August 3, 2006. The provider is doing business as Eagle Lake Rehab & Care Center.

Where is Eagle Lake Foundation Inc located?

Eagle Lake Foundation Inc is located at 1100 66th St N, St Petersburg, FL 33710. The listed phone number is (727) 345-9331.

What is Eagle Lake Foundation Inc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

What insurance does Eagle Lake Foundation Inc accept?

Health plans from AvMed list Eagle Lake Foundation Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eagle Lake Foundation Inc was last updated on November 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.