EAGLE LAKE NURSING & REHAB OPCO LLC
NPI 1578320172
Skilled Nursing Facility in Saint Petersburg, FL

Active since March 01, 2024
1100 66TH ST N, SAINT PETERSBURG, FL 33710(727) 345-9331 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eagle Lake Nursing & Rehab Opco Llc NPPES

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

EAGLE LAKE NURSING & REHAB OPCO LLC (NPI 1578320172) is a healthcare organization registered as a skilled nursing facility in Saint Petersburg, Florida and active in the NPI registry since March 2024. The organization lists Eden Najman, C.e.o., as its authorized official.

NPPES Registry Identity

NPI1578320172
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameEAGLE LAKE NURSING & REHAB OPCO LLC
Location Address1100 66TH ST NSaint Petersburg, FL 33710-6224
Mailing Address7951 Sw 6th St Ste 116Plantation, FL 33324-3211 · (786) 785-9165
Organization SubpartNo
Authorized OfficialEden NajmanC.e.o. · (786) 785-9156
Enumeration DateMarch 1, 2024
NPPES CertifiedMarch 1, 2024
NPI 1578320172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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, Saint Petersburg, FL 33710

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
Skilled Nursing 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
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 Nursing & Rehab Opco LLC's NPI number?

The NPI number for Eagle Lake Nursing & Rehab Opco LLC is 1578320172. It was assigned to this organization in the NPPES registry on March 1, 2024.

Where is Eagle Lake Nursing & Rehab Opco LLC located?

Eagle Lake Nursing & Rehab Opco LLC is located at 1100 66th St N, Saint Petersburg, FL 33710. The listed phone number is (727) 345-9331.

What is Eagle Lake Nursing & Rehab Opco LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Eagle Lake Nursing & Rehab Opco LLC was last updated on March 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.