Villa Maria West Skilled Nursing Facility – Skilled Nursing Facility, NPI 1912166091

Villa Maria West Skilled Nursing Facility is a healthcare provider. based in Lauderdale lakes, Florida. specializing in Skilled Nursing Facility. The organization holds a License No. SNF130471041 (FL). The NPI Number for Villa Maria West Skilled Nursing Facility is 1912166091

Main info

Organization
Name
Villa Maria West Skilled Nursing Facility
NPI
1912166091
Phone
(954) 484-1515
Address
4790 N STATE ROAD 7
Authorized Official
MARY JO FRICK PRESIDENT AND CEO
Enumeration Date
4 June 2008
Last Update Date
7 July 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness90
Years active:18State licenses:1Digital endpoints

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Provider Addresses for Villa Maria West Skilled Nursing Facility

  • State Road 7, Lauderdale Lakes, Broward County, Florida, 33319-5617, United States

    LAUDERDALE LAKES, FL 333195860

    Phone: (954) 484-1515

    Fax: (954) 484-5416

    Type: Mailing

  • 8850, West 68th Street, Hialeah Gardens, Miami-Dade County, Florida, 33018, United States

    HIALEAH GARDENS, FL 330181748

    Phone: (305) 731-5181

    Type: Location

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: 2009-01-28

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
O20090128000217OSkilled 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

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 33319)

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Reviews

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Frequently asked questions

What number should I use to identify Villa Maria West Skilled Nursing Facility for billing?
Administrative and clinical systems typically use NPI 1912166091 for Villa Maria West Skilled Nursing Facility.
Is Villa Maria West Skilled Nursing Facility currently accepting referrals based on NPI status?
Registry metadata lists Villa Maria West Skilled Nursing Facility as active.
What does the directory say Villa Maria West Skilled Nursing Facility does?
Insurance directories may phrase it differently, but here Villa Maria West Skilled Nursing Facility maps to Skilled Nursing Facility. Clinical services aligned with this taxonomy classification.
Is Villa Maria West Skilled Nursing Facility tied to Lauderdale Lakes, Florida?
If you are local to Lauderdale Lakes, Florida, Villa Maria West Skilled Nursing Facility may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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