Organization
MELBOURNE TERRACE RCC, LLC
Active
Other names
Melbourne Terrace Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL B KELLETT (AS SOLE MEMBER OF SBK CAPITAL LLC)
(404) 233-7048
Entity
Organization
Contact information
Practice address
251 E FLORIDA AVE, MELBOURNE, FL 32901-8303
(321) 725-3990
(321) 725-4099
Mailing address
251 E FLORIDA AVE, MELBOURNE, FL 32901-8303
(321) 725-3990
(321) 725-4099
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF13400962
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026454700
—
FL
01
—
V673P-5337
VA
—
Enumeration date
09/29/2005
Last updated
01/30/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us