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Eagle Lake Rehab & Nursing LLC

Skilled Nursing Facility in St Petersburg, FL · enumerated 2012 · authorized official Lynda Hebbeln, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164798104

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Registry record

Entity type Organization (Type 2)
Legal business name Eagle Lake Rehab & Nursing LLC
Practice address 1100 66th St N, St Petersburg, FL, 33710
Fax (727) 345-7064
Enumeration date Mar 23, 2012
Last updated in NPPES Mar 23, 2012

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License SNF15650961 (FL) Primary

Authorized official

Name Lynda Hebbeln
Title Cfo

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Eagle Lake Rehab & Nursing LLC located?
The practice location on file with NPPES is in St Petersburg, FL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-03-23. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-03-23.