Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Eagle Lake Rehab & Nursing LLC

Organization Skilled Nursing Facility · NPI 1164798104

Eagle Lake Rehab & Nursing LLC is a Skilled Nursing Facility in St Petersburg, Florida. Medicare rates this nursing home 1 out of 5. Licensed in Florida.

CMS rating
1 of 5
Licensed in
FL
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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CMS quality rating

1 out of 5 — official nursing home rating from CMS Care Compare (CCN 105292)
Health inspection1.0 / 5
Staffing3.0 / 5
Quality measures1.0 / 5
OwnershipFor profit - Limited Liability company

Practice location Address checks out

1100 66th St N
St Petersburg, FL 33710-6224 Not confirmed with CMS for 14 years — call before visiting
Phone: (727) 345-9331
Fax: (727) 345-7064
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence SNF15650961 (FL)

Record details

NPI number1164798104
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lynda Hebbeln — Cfo · (727) 723-3021
NPI enumeratedMarch 23, 2012
Last updated in NPPESMarch 23, 2012
Mailing address1100 66th St N, St Petersburg, FL 33710-6224

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

Other providers in St Petersburg