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Shady Rest Care Pavilion, Inc.

Skilled Nursing Facility in Fort Myers, FL · enumerated 2005 · authorized official Weston Edwards, Ceo.

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

National Provider Identifier

1881681724

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Shady Rest Care Pavilion, Inc.
Other name <Unavail>
Parent organization Shady Rest Care Pavilion, Inc.
Practice address 2310 N Airport Rd, Fort Myers, FL, 33907
Phone (239) 931-8401
Fax (239) 931-8453
Enumeration date Oct 5, 2005
Last updated in NPPES Sep 1, 2016

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License SNF1497096 (FL) Primary

Authorized official

Name Weston Edwards
Title Ceo
Phone (239) 931-8402

Other identifiers

Identifier Type State Issuer
021390000 Medicaid FL -

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

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Shady Rest Care Pavilion, Inc.?
Shady Rest Care Pavilion, Inc. is registered in NPPES as a Skilled Nursing Facility (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-09-01.