Spring Lake Rehabilitation Center – Skilled Nursing Facility, NPI 1366439952

Spring Lake Rehabilitation Center is a healthcare provider. based in Winter haven, Florida. specializing in Skilled Nursing Facility. The organization holds a License No. SNF15110961 (FL). The NPI Number for Spring Lake Rehabilitation Center is 1366439952

Main info

Organization
Name
Spring Lake Rehabilitation Center
NPI
1366439952
Phone
(863) 294-3055
Address
1540 6TH ST NW
Authorized Official
MR. SAMUEL B. KELLETT AS SOLE MEMBER OF SBK CAPITAL LLC
Enumeration Date
29 September 2005
Last Update Date
29 July 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Spring Lake Rehabilitation Center

  • 1540, 6th Street Northwest, Winter Haven, Polk County, Florida, 33881, United States

    WINTER HAVEN, FL 338812368

    Phone: (863) 294-3055

    Fax: (863) 294-4210

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2003-11-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20031125000329OSkilled Nursing FacilityFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33881)

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Reviews

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Frequently asked questions

Can I cross-check Spring Lake Rehabilitation Center using NPI 1366439952?
NPI 1366439952 belongs to Spring Lake Rehabilitation Center; compare other details if you need extra assurance.
Is Spring Lake Rehabilitation Center still an active registrant?
Spring Lake Rehabilitation Center carries an active NPI according to the public dataset.
What expertise is attributed to Spring Lake Rehabilitation Center?
Spring Lake Rehabilitation Center's specialty line reads Skilled Nursing Facility. Clinical services aligned with this taxonomy classification.
Is Spring Lake Rehabilitation Center located near Winter Haven?
Spring Lake Rehabilitation Center currently maps to Winter Haven, Florida in this extract.
Can I trust this NPI listing for Spring Lake Rehabilitation Center?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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