Organization
BEAR CREEK NURSING CENTER, LLC
Active
Parent organization
HEALTH SERVICES MANAGEMENT, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTH SERVICES MANAGEMENT, INC.
Authorized official
MRS. MARIA A OWENS-WICKER NURSING HOME ADMINIS (ADMINISTRATOR)
(727) 863-5488
Entity
Organization
Contact information
Practice address
8041 STATE ROAD 52, HUDSON, FL 34667-6726
(727) 863-5488
(727) 862-9558
Mailing address
8041 STATE ROAD 52, HUDSON, FL 34667-6726
(727) 863-5488
(727) 862-9558
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
SNF10460962
FL
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01459
UNIVERSAL HC
—
05
—
022856700
—
FL
01
—
103501
CITRUS HEALTHCARE
—
01
—
14773
STAYWELL/WELLCARE
—
01
—
219410
AMERIGROUP
—
01
—
7105581
UNITED HEALTHCARE
—
01
—
L06
BCBS
FL
Enumeration date
06/19/2006
Last updated
04/30/2014
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