Eagle Lake Rehab & Nursing, LLC
NPI 1174898605ActiveOrganization· Nursing Facility/Intermediate Care Facility· St Petersburg, FL
Nursing Facility/Intermediate Care Facility in St Petersburg, Florida, registered in NPPES in March 2012. The authorized official on file is Lynda Hebbeln, Cfo.
Overview
| NPI | 1174898605 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 16, 2012 |
| Last updated in NPPES | Apr 20, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nursing Facility/Intermediate Care Facility Primary | 313M00000X | SNF15650961 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Nursing Facility/Intermediate Care Facility providers in St Petersburg
- 1386868594
All Nursing Facility/Intermediate Care Facility providers in Florida →