Provider Demographics
NPI:1962278127
Name:SANDHILL COVE LLC
Entity type:Organization
Organization Name:SANDHILL COVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. VP AND TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:C
Authorized Official - Last Name:VICTOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-875-4619
Mailing Address - Street 1:1500 SW CAPRI ST
Mailing Address - Street 2:
Mailing Address - City:PALM CITY
Mailing Address - State:FL
Mailing Address - Zip Code:34990-4518
Mailing Address - Country:US
Mailing Address - Phone:772-223-5863
Mailing Address - Fax:772-283-7092
Practice Address - Street 1:1500 SW CAPRI ST
Practice Address - Street 2:
Practice Address - City:PALM CITY
Practice Address - State:FL
Practice Address - Zip Code:34990-4518
Practice Address - Country:US
Practice Address - Phone:772-223-5863
Practice Address - Fax:772-283-7092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-29
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility